An interrogative phrase How replaces the preposition phrase including any prepositions:
- How [does it look
like something]?
An interrogative phrase with What just replaces a noun phrase:
- What [does it look like
something]?
So, in short, the Original Poster's intuitions are correct. If we try to use How but not delete the preposition, the sentence will be ungrammatical:
- *How does it look like? (ungrammatical - like should be deleted)