Much, much sooner than, than just having counseling. Shes making herself antisocial. Im closing the door behind me. Im at home. I dont want to be a part of that anymore. So thats why i would say her situation is more extreme than other situations. Reporter will the people in new york evaluating renatas case agree . Hello . Hello, renata . Coming up who will be chosen for possibly lifealtering surgery . Oh my god. And who wont . Reporter the foundation that treats children with facial deformities finished evaluating these four cases. Hello . Hello, renata . Yeah . My name is diane, and im with the little baby face foundation. Reporter renata had been waiting anxiously for months, thinking a straighter, smaller nose would silence her bullies and improve her selfconfidence. I am looking at your beautiful picture that you sent us, and i just read the beautiful letter that you wrote. I want to invite you to come to new york to see if we could help you. Are you serious . Very serious. Oh, my god. Thank you so much. You made me so happy. Im glad youre happy. I can see you smiling right through the phone. That was great that was great. It feels great. Shes going to come out great, too. I am so happy, oh my gosh i cant believe were going. I cant believe we got chosen. That is awesome. Reporter next, conner. His friends promised to stop making fun of his nose, but will the foundation offer to fix it . I have a doctor whos going to work on your cleft lip. And i have another doctor, thomas romo, whos going to do your nose. Thank you. You are welcome. All right, let me talk to your mom so i can explain all this. Children that are born with cleft lips, they also have a cleft lip nose deformity and they look like conner. So conners nose, it wasnt just so much it was big, but his septum was totally obstructing his left airway. And the arch of his nose was totally under supported. What are you thinking about . New york really, and how ill look after surgery and everything. I was wondering what he was thinking because he wasnt saying much. But im sure he was pretty happy. Congrats, con. Im happy for you. Reporter then, donovans turn. He asked the foundation for a more prominent chin, but mom thinks he should keep his head up instead. How are you . Pretty good, pretty good. I know that you were bullied because of your chin. But i want to tell you something. When i look at this application i see this handsome, 16yearold guy. And from the pictures that you sent me it really just looks like you just need a very minor cosmetic procedure and it really doesnt fall under our Mission Statement for the baby face foundation. Its a pretty big disappointment. I guess i can live with it. Reporter what was it about him that made you not select him . I really felt that his case was cosmetic. And that other children with more severe cases than his. Reporter donovans mom hopes her son will bounce back. You have to do a lot of inner soul searching to find that part of you that gives you strength. Reporter and finally, cheyenne. Cheyenne . Reporter shes tried to correct her eyes through surgeries before. Though shes learned to accept the way she looks, her mom decided to give it one more try. This is a difficult case. Im still looking at that beautiful face but im just trying to figure out how our doctors can take care of you. Reporter diane told cheyenne her eyes would not be easy to fix. But she also told her to pack her bags. Yes i just explained to her weve been trying to figure out what we could do to help. That the only way that well know is to invite you to new york for a couple of days and then make a plan. Okay. Reporter opening a closed door can sometimes be overwhelming. That would be wonderful. Reporter dont cry because if you cry i cry. If i cry my mascara goes. Forget it, were done. Okay. Thank you so much. This is the best part of my job making this phone call. Reporter how do you feel when your mom gets emotional about stuff . Dont like it. Reporter you dont . How come . cause, i mean, theres no reason. Reporter welcome to new york. Renata went directly to her presurgery appointment with dr. Romo. And what were going to do, is were going to straighten that septum out, and were going to take this little thing down and make this whole thing smaller. Okay . Thank you so much. Renata, actually, once you pinned her hair back, had a diagnosis, whats called a hemifacial microsomia. Reporter and what is that . Half the face is smaller than the other side of her face. And thats why this nose is leaning to the left. Reporter is that an unusual thing . Its actually not that unusual. It just doesnt get treated that often. We make a little poke hole here. Reporter then, he unveiled his treatment plan. So itll balance her face. Reporter and it involved more than just a nose job. He offered renata a new chin as well. Its just something ive been thinking about, that we were thinking, something we want to do. Reporter wow. Were pointing out Something Else that she didnt even she wasnt even worried about. When someone comes in to me about a nose problem, i pin their hair up because i want to look at the whole face. The nose, the eyes, the lips, the jawbone, all have an interrelation. Do you want to do the thing what hes talking about, the chin . Do you understand what he was talking about . Yeah, i understood. What do you think about it . Its a big decision. Its a huge decision. I dont know what would be better. You dont have to. If you dont want to change anything else you dont have to. Reporter if you looked at me, and you were to say to me, hoda, that chin. And i might say, i think im fine with my chin. I promise you, dr. Romo, every time i look in the mirror for the next five years, id be looking at my chin. Because a doctor says theres an issue with it. Shes a vulnerable kid, shes going to do whatever you say, period. Its the doctors responsibility to point those out. I know when theyre going to have a more successful result. Reporter cheyenne spent a full day seeing specialists. At the end of it, dr. Romo reported what sounded like disappointing news. Your eyes, your brows, and your eyelids, could physically be brought up higher. Yup. The problem is you wouldnt be able to close them. We couldnt make her eyes actually larger. We couldnt pull her eyelids too tight because she had to close them. Reporter but dr. Romo still saw a surgical solution. Instead of operating on cheyennes eyes, dr. Romo recommended a nose job and pinning her ears. One of the ways to make the eyes look bigger is to make the nose small and deflect the look of where the ears are. And just setting this back so this is less obvious. Reporter it seems like its additional surgery and work that will change, you know, the way your daughter looks. First of all, im concerned about any surgery. I leave the ultimate decision up to cheyenne because its her body. Reporter what do you feel . I know im beautiful. But you know, some things you got to change to make yourself even more happy. Reporter during connors evaluation, dr. Romo also recommended a new chin to go with a new nose. Connor and his mom agreed. See how the chin, bringing that out just a bit, it opens the face up. Reporter renata decided to take dr. Romos advice, too. Well, ive decided that im going to get the nose and the chin done. I thought id just trust him because he knows what hes doing. I cant believe we made it here. I didnt think wed come this far. This is a big moment. Ill see you in a few hours. I love you, mom. I love you so much. Good bye. I love you. Good bye, baby. Reporter as they headed into surgery, all three imagined sweet dreams. Surgeon sweet dreams, cheyenne. Reporter not for when they close their eyes, but for when they open them. Coming up, the bandages come off. How life has changed for the three who had the surgery and the one who didnt. Time of operation is two hours and 36 minutes. Reporter can the confidence and selfesteem of children be lifted the way a face can . Dr. Romo says hes not trying to give these kids complete makeovers, but believes small surgical corrections make a big difference. The changes are subtle in the eye of the beholder. The children dont consider them so subtle. Reporter when we first met renata, she was so selfconscious about her looks that she rarely left her house. I dont go to regular school because a lot of the kids just make fun of me, how i look. Reporter now she was about to see her new nose and chin without bandages. Wow. Isnt that great . Yeah. Now its swollen. Its going to go down. You look gorgeous. So straight. You look gorgeous, renata. I really love it. It could not be more perfect. What a beautiful woman. It just looks really amazing. And i can see the bump is gone and it just looks perfect to me. She has not been this happy in years and i just couldnt wish for a better result. Parents correct childrens teeth with braces to make their teeth straighter. Theyre still the same kid on the inside but unfortunately people are judged on how they look. And i think thats what happened to my daughter. Reporter when we visited renata a few months after her surgery, things had changed dramatically. Ive been going off the computer a lot more and ive been going out a lot more. Renata is much more, you know willing to talk to people that she sees and shes just happier in general. Yes, my daughters here to see the guidance counselor. New enrollment . Yeah. Reporter after nearly three years of homeschooling, renata went back to the classroom, enrolling in her local high school. A lot of people say that high school is the best time of your life, so i wanted to experience that too. Oh awesome. So youre excited. Reporter now in her sophomore year, shes also making new friends. I feel happy and i feel confident. And i feel like i dont have to hide myself anymore. Reporter and now, connor. He wanted a smaller nose, hoping it would make him less selfconscious around girls. Think like it affects how i talk with girls because i feel like theyd wouldnt like me because my nose or my appearance. Reporter so, he changed his appearance with a new nose and a chin implant. Its been about two months since i had surgery and im doing really good. No one really said there was a huge difference. They said i look a little different. Reporter but connor says he definitely felt different after the surgery. And he saw a difference among his friends, too. Though that started happening even before he left for new york. Yeah, they have stopped giving me a hard time. Probably said a couple things, but not like as much as they did before. Reporter and then, something he once thought would never happen. He went to his first school dance with his first real date. Cheyennes case was the most complicated. Her eyelids couldnt be pulled any higher. So, the doctors made her nose smaller and pinned back her ears all part of the illusion, they hoped, to make her eyes appear larger. I love my nose. It was a potato nose as dr. Romo called it. This dress is my prom dress. I like the color of it, the style. Yeah, i like how my sister did my makeup. The change that i see right now is kind of what i imagined, like i imagined my eyes a little bit wider. But i like it the way it is. Reporter the friend most eager to see cheyenne again was savannah. She never thought cheyenne needed surgery, but she liked the results. She does look different, but not all that much. Which is what i was worried about in the first place. She was beautiful the way she was, and she still is and the only thing that came out of her going to new york was me missing her. Reporter cheyenne says she is, finally, at peace. I think im done because i like the way i look now. You know if anyone has a problem, i dont care. Its going to help them go to college. Its going to help them get a job. Its going to help them be social when they otherwise wouldnt. The bullys going to be left in the dirt. Reporter and donovan . He was disappointed when he wasnt chosen. But just a few months after his letdown, he told us hell had a hed had a profound change, too. He says not being picked for surgery turned out to be a blessing. Im feeling good about it now. I dont have to have surgery after all. And its just its kind of a weight off my shoulders. Reporter in fact, he says, keeping his weaker chin gave him a stronger voice. At school, he started a campaign to raise awareness about bullying, passing out wrist bands and collecting donations for a local antibullying charity. Hes already felt the impact on a personal level. A lot of people have really opened up to me and apologized for the years. Reporter and since then, hes been on a few dates, and even joined his first rock band. I learned that there is actually there are people who care for me and like me for who i am. Reporter mom sue says she couldnt be more proud of her son and his change of heart. Hes grown stronger, more confident. And i think thats whats going to take him through this world and make him the person, the best person he can be. Reporter all the teens we met are happy with the paths they took, though it may take years before they know the lasting effect of having surgery or not. But if theres one thing they can count on today, their teen years, with all that pressure and anguish, wont last forever. Thats all for now. Im lester holt. Thanks for joining us. Blah this sunday, terror in denmark. Two victims it dead and the alleged shooter. We feel certain it is a previously motivated attack and therefore it is a terrorist attack. One target, a swedish cartoonist on al qaedas hit list. He survives. But a man shot debt outside a synagogue. Well have all the latest. And fixing the va. What the agencys new leader has done. 900 people have been fired since ive been secretary. And whats still ahead, making sure veterans have the care they deserve. Plus one year out, we have brandnew numbers in the race for 2016 from first three states that will start the voting. And 40 years of funny