Again, they are not perfectionist, that is a myth.
Second, I don't know how the average US city is, because I have never been to the US, but I think that you really overestimate how the average Japanese city looks like. People who have never lived here think that all of Japan is like the cool neighbourhoods of Tokyo, but that could not be further from the truth.
The average Japanese city suffers from serious urban sprawl, most are just a bunch of big box stores interconnected by stroads, and little houses scattered everywhere without any kind of planning. There are plenty of old, decaying buildings everywhere and streets in pretty bad condition.
Look, I live in Misawa, Aomori. Please take a look around on Google Street View, and then tell me how much of a masterpiece it is: https://maps.app.goo.gl/d5DDV3PT6MiSNYPYA