Life is hard when you're not just ugly but the ugliest woman in the world, meaning youre giving every other average looking woman hope, its truly painful, meaning you would have gone through a lot and would have found ways to motivate other people.
She has been given a title no woman will ever want to have.
She was labelled the world's ugliest woman by heartless netizens.
But that did not stop Ms Lizzie Velasquez, 24, from channelling the hatred into motivation and spreading the message of acceptance.
She is one of the three known people who suffer from a rare syndrome that prevents her from gaining weight and has caused blindness in her right eye. The rare condition still baffles doctors and is thought to affect just two other people worldwide, the Daily Mail reported.
She was born four weeks premature and weighed less than a kilogramme. Doctors found there was minimal amniotic fluid protecting her in the womb.
They could not make a diagnosis so they prepared Miss Velasquez's parents for the worst. But she survived.
Doctors say she was was born without adipose tissue, meaning she has no body fat. Despite eating up to 60 small meals a day, she remains at a delicate 26kg.
But she redefines what it means to be beautiful.
Ms Velasquez, of Texas, was at a TED talk in Texas last month. TED is a set of conferences owned by the private non-profit Sapling Foundation.
She told viewers how she had resolved to take charge of her life by killing the negativity with ambition.
She said: "I'm going to let my goals and my success and my accomplishments define me, not my outer appearance."
After years of misery and self doubt, she said in 2012 that she finally shrugged off the hurtful comments about her looks as "just words".
In her second book, Be Beautiful, Be You, the college senior shared advice on being unique, how to make and keep good friends and how to deal with bullying and negativity.
Speaking to American TV personality Dr Drew Pinsky early in September 2012, she said when cyber bullies first started attacking her online it was hard.
She said: "I'm human... of course these things are going to hurt... (but) I'm not going to let those things define me."
But soon she came to realise that those making hurtful comments were cowards hiding behind their computer screens.
"At the end of the day, these are just words," Miss Velasquez told Dr Drew. "If they are so proud, then they should show their face."
When asked how she deals with being constantly stared at in the street, she said: "I'm starting to want to go up to these people and introduce myself or give them my card and say, "Hi, I'm Lizzie - maybe you should stop staring and start learning'."
She also said that she had no desire whatsoever to look like a stunning celebrity.
"I feel I'm really glad I don't look like the celebrities out there who are beautiful, because there are a lot of stereotypes attached to that.
"People think 'she's so pretty, she must be really dumb'. Since I don't look like that it's better because people can get to know the real me."
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