Baby girl Paisley was born with a rare condition that caused her tongue to measure more than double the size of her mouth making it virtually impossible for her to ever smile.
When she was born stunned physicians recalled seeing her tongue for the first time and later described it as the largest they had ever encountered in a newborn.
She was later diagnosed with Beckwith Wiedemann Syndrome, an overgrowth disorder that affects one in every 11,000 births worldwide.
The newborn required a breathing apparatus following the week of her birth to prevent her from chocking to death.
She also had to be fed via a gastronomy tube until she was six-months old.
Her parents Madison Kienow, 21, and Shannon Morrison-Johnson, 23, had initially hoped that their child’s mouth could grow to accommodate her oversized tongue however sadly this didn’t occur.
The family, from Aberdeen, South Dakota, were then forced to make the difficult decision to allow doctors to perform surgery on their daughter.
The first surgery however failed after surgeons removed part of the tongue as it eventually grew back.