After having more than 20 surgeries over four years, Katie Stubblefield finally has a new face. In May of last year, doctors at the Cleveland Clinic helped the then 21-year-old become the world’s 40th face transplant recipient, and the youngest in U.S. history. Today, Stubblefield, whose story was first told in National Geographic’s September cover story, is recovering well — and adjusting to the novel life, identity and reality that come with her new appearance. “I’m starting over in a lot of ways,” Stubblefield says through her parents, Robb and Alesia.