Yeah I’ve not found anything aesthetically acceptable so thinking a remote module in the ceiling is the way forward. Plenty to choose from on Amazon but loathe to add yet another ‘smart’ app from a random Chinese brand.
Most are ZigBee so if you want to make the effort you can control them with Home Assistant rather than the random app (or integrate them into Hue). It's a bit of a rabbit hole though.
There's a fair few options that involve some module somewhere in the wiring.
Pretty much all the switch replacements that I've seen are ugly