Tessa Evans was born with a condition that makes her story one of resilience and hope. On Valentine’s Day in 2013, she entered the world without a nose, diagnosed with Bosma arhinia microphthalmia syndrome. This syndrome, though rare, profoundly impacts various parts of the body, including the eyes, nose, and, at times, the brain. The condition is extremely uncommon, with fewer than 100 reported cases globally since its initial documentation in Vietnam in 1981. Tessa’s case is significant not only because of its rarity but also because of the way her journey has touched countless lives and shaped the understanding of rare medical conditions.
Early Challenges and Parental Determination

Tessa’s parents, Grainne and Nathan Evans, faced an immediate shock upon her birth. There had been no prenatal indications that their daughter would have such a rare condition. Yet, despite the initial shock and uncertainty, they embraced Tessa’s uniqueness. Instead of focusing on what was missing, they focused on what they could do to help their daughter. They became proactive in seeking groundbreaking treatments, and Tessa became the first child to receive early intervention for her condition. Her case would ultimately inspire new medical approaches to treating Bosma arhinia microphthalmia syndrome, showing just how crucial early medical intervention is for rare conditions.
Groundbreaking Medical Treatments

Tessa’s medical journey began as early as two weeks old when she underwent her first surgery—a tracheostomy tube was inserted to assist with breathing and feeding. By the age of two, she made history as the youngest person to receive a cosmetic nasal implant. Modern technology has been instrumental in Tessa’s treatments, particularly advances like 3D printing and medical tattooing, which have played a role in shaping her facial features. As she continues to grow, these technologies are expected to help her develop a more permanent nasal structure, reducing the need for future surgeries. These advances offer real hope for Tessa’s future and represent a shift in how rare conditions are approached, allowing for more personalized and effective treatments.
Overcoming Ongoing Challenges

While medical interventions have made significant strides in improving Tessa’s appearance and health, her condition still presents numerous challenges. One of the most notable hurdles is the absence of her sense of smell, a loss that could have serious consequences. Without the ability to detect smells, Tessa cannot sense dangers such as fire or spoiled food—situations that many of us take for granted. In response, her parents are vigilant and highly proactive in ensuring her safety, demonstrating just how much effort and support are needed to manage a condition like hers. Their commitment to Tessa’s well-being highlights the ongoing need for awareness and understanding of her unique medical needs.
An Inspiring Beacon of Hope
Tessa’s story is one of courage and determination, not only for her but also for many others facing similar challenges. She has become a symbol of hope for others with rare medical conditions, showing that it is possible to overcome seemingly insurmountable obstacles. Tessa’s fearless nature, paired with her family’s unwavering dedication, has inspired many others to pursue medical treatments that were once considered unattainable. Her family’s Facebook page, “Tessa; Born Extraordinary,” has amassed nearly 10,000 followers, all of whom are captivated by her journey and the progress she continues to make. Tessa’s story is a powerful reminder that even in the face of rare and difficult conditions, there is room for progress, hope, and inspiration.
The Power of Strength and Progress
Tessa Evans’ journey is a remarkable one, defined by strength, resilience, and love. Despite the challenges posed by her rare condition, Tessa continues to defy expectations and inspire those around her. Her story demonstrates the importance of early intervention, medical innovation, and a strong support system. Tessa’s journey is not just about medical advancements but also about the power of family and community. She is living proof that with determination, support, and the right resources, individuals can achieve extraordinary things, no matter the obstacles they face.