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J.Burke's post in Headgear, hair, and facial issues was marked as the answer
Seems to be related to completing the game with David surgery and then immediately starting a new game. Unfortunately, the current workaround is to shut the game down before starting a new game if you have gotten the plastic surgery, or to get the plastic surgery and then get another surgery to remove it.
We're working on a patch fix to properly fix it at the moment.