MAGHERA, IRELAND — Tessa Evans from Ireland was just like any other smiley, happy kid, except for one tiny thing.

Caters News Agency reports that the 2-year-old was a rare child, one of only 47 others on record who were born missing a nose.

The toddler has complete congenital arhinia, a condition so rare it affects only one in one hundred million.

Her nose didn’t develop in the womb, and while she has no sinuses and no sense of smell, she can still cough, sneeze, or catch a cold. Despite all this, Evans is your typical adorable tot, who is especially fond of dancing.

In 2015, she underwent an operation to get a 3D-printed nose mould fitted under her skin, and now has a small nasal bump.

It was the first of many surgeries, and will be repeated every few years, as doctors ensure the nose “grows” at the same rate as the rest of her face.

The final prosthetic implant will be fitted when Evans hits her teens, and the nose will be completed with nostrils and shading drawn on by a tattoo artist.

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