Doku Otome: Taishou Seikei Kikan

"I don't want to die... I don't want to end up like this...!" Chiyo Yamano, who works at a local silk mill, was born with a face like a monster. While spending her days in the living hell of oppression, Chiyo is wanted as the culprit who burned down the factory. But even in Tokyo, where she escapes, she is not accepted, and as she wanders around, she is hit by a car - and when she wakes up, Chiyo has a new face! --
Tokyo, Taisho era. She is a beautiful daughter of a noble family who has undergone plastic surgery. What is the fate of the girl who is tossed about by the stormy waves of the times?

(google translated)