I completely understand your pain; I've had similar issues with presets! It's very difficult to get things exact, and one often has to take minor artistic liberties to make the design
work. If people are desperately after a preset and have a perfect vision of exactly what they want, they should perhaps consider learning how to create it themselves- as opposed to making someone work needlessly on a piece that'll inevitably be thrown aside. Appreciation and usage of artwork/presets is often all the artist asks for in thanks; it's beyond the boundaries of rude to even decline that gesture and haggle someone else to redo it! If they're a paying commissioner, it's a different story entirely, but
freebies?
I've started to only accept complex requests from friends- people I know who
will appreciate the preset and use it for many, many months; there's no point in putting 5+ hours of work into something that'd be brushed off in an instant by a randomer who, knowingly or unknowingly, stomps all over an artist's feelings with their blatant dismissal of other's work. It's selfish- and extremely rude; presets often take just as long- or longer- than a painting.
I can understand wanting a change after many, many months- but declining a piece entirely because of a minor flaw-...? I sincerely hope they don't say it flat-out to the artist's face.
/rant