A young 11-year-old girl says she was bullied over her looks that she was forced to get cosmetic surgery.
The America student, Bella Harrington, told ABC she was bullied because her "ears stuck out."
"They would always, like, point it out. At first, I didn't care about it but then the more people pointed it out is when I wanted to change it," Bella told ABC.
She received comments like 'elf ears' and feared needing to tie her hair back.
"When people would ask if I would like to go swimming in the summer I'd be scared they'd show," she said.
After years of abuse, her parents decided to get their 11-year-old cosmetic surgery to pin the ears back, a surgery known as otoplasty.
"It's no different than getting braces," parent Sabrina Harrington said. "If it's going to make you feel better about yourself, then so be it."
Bella's doctor, Joe Niamtu, says many of his younger patients are getting paediatric cosmetic surgery, and are often getting surgery before they start.
"We like to treat these children before they enter school, so it's not uncommon that I'm (operating on) 4 or 5-year-olds," Dr Niamtu said. "And the reason is bullying, it's been shown psychologically to have the ability to affect their self-esteem or body image for the rest of their life."
Following surgery, Bella said that while she still finds it difficult to talk about the bullying, she's thrilled with the results.
"I was so happy," she said, adding she's no longer "focused on if people can see them."