Standing at just 3ft tall with a curved spine, Isabella Lamanna is used to people's stares.
She's faced horrific comments from strangers over the years and has even had people pointing and laughing at her.
But luckily, the 19-year-old's parents installed an important lesson when she was a child, and she still uses it as her outlook now. She explains: "My parents taught me from a young age to ignore it because they’re just not educated.
"When kids ask me questions, I am very open to answering them as they’re just curious and may not have seen a little person before."
Isabella was diagnosed with diastrophic dysplasia as a baby. The condition is one of 400 types of dwarfism and affects cartilage and bone development.
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She's gone viral on TikTok for explaining what it's like to live with dwarfism, admitting she's worked hard to achieve some of the basic things we take for granted, like walking, as when she was born doctors believed she may never be able to do so.
But while she's spent her life trying to prove doctors wrong and has succeeded, she explains it's not always been as easy to keep her spirits up.
The psychology student from Ontario, Canada, also has scoliosis, which is where the spine twists and curves to the side.
In October 2015 she was taken for a spinal fusion and she found out things had "severely worsened".
"That year, my scoliosis had severely worsened and my curve reached a high of 100 degrees which is very, very risky," she recalls.
"They knew they had to go in and correct this right away, meaning I was and out of the hospital for six months, having a total of four surgeries."
By the end of the procedure, doctors had to break Isabella's spine to remove a rib and disk, as well as using bone from her calf to fuse her spine as straight as possible.
She continued: "Being in the hospital was exhausting but the staff made my experience so memorable.
"I had therapy dogs visit me each day, as well as my art and music therapist and therapeutic clowns, they were amazing at distracting you from the pain!"
She also faces numerous other challenges on a daily basis, including cooking, baking and dating.
"People like young adults can be very immature and some may have their heart set on a girl of average height rather than a little person," Isabella explains.
"There is also an issue with fetishes which is pretty awful, you just never know sometimes if they actually want to talk to you or if it's just on their 'list' unfortunately.
"It's all good though, when the right one comes it'll be great.
"It can also definitely be hard reaching things, I need to move my stool around and climb counters in order to reach certain things.
"A task that may take an average height person 10 minutes to complete, could take us up to 30 minutes.
"Doing my hair is also challenging and I often ask my friends and family to help me.
"Also, reaching things in stores like grocery shopping can be difficult alone, as well as pumping gas and shopping for clothes.
"But luckily, I have an electric scooter to get around quicker when going long distances and have pedal extensions which help me drive!"
Isabella now educates others on dwarfism, encouraging them to embrace people's differences on her TikTok @bella.lamanna.
There's she's garnered over 888,000 followers and millions of likes on her videos.
She added: "I use TikTok and YouTube to answer questions as well as showcase my daily life to people.
"Showing that with a little bit of adjustment and accommodations I can do anything an average height person can!
"Ultimately, I want to help and inspire people of all heights and show other little people that they must embrace their differences and never give up, or say they can’t do something without trying.
"The message that I want to send to others, as well as other little people is that you cannot change who you are, so you must embrace it.
"Everyone is unique in their own way, and you are perfect just the way you are!
"One step at a time, people will be educated about dwarfism and everyone will feel that much more included in society."
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