Ripley’s FFS doesn’t actually look that bad to me, and it doesn’t appear like he’s had any facial paralysis or anything (of course he could be lying). The doctor seems to actually have done a good job (considering the nature of the procedure it was never gonna be perfect) and even managed to do the trache shave at the same time without fucking up his throat. Pretty good for an experimental procedure. Admittedly my reference point for these types of surgeries is Luke Lockhart, which is a low bar (if you’re not familiar his chin is legit deformed because he went to a sketchy Mexican surgeon).