In this July 15, 2015 photo, Nepalese amputee victims Khendo Tamang, left, and Nirmala Pariyar, both 8, share a single pair of shoes at the Bir Trauma Center in Kathmandu, Nepal. After suffering serious leg wounds in Nepal's massive 2015 earthquake that killed and injured thousands, both girls were brought to the Bir Trauma Center in Kathmandu, to receive single leg amputations. Following their surgeries, Nirmala's relentless cheerfulness drew a still very depressed Khendo close and both found an inseparable friendship which has helped their emotional wounds heal. (Photo by Niranjan Shrestha/AP Photo)

Eight-year-old handicapped Chinese girl Qian Hongyan crawls with two home-made props and part of a basketball at Zhuangxia Village on January 5, 2005 in Luliang County of Qujing City, Yunnan Province, China.

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A costumed fan attends Comic-Con International 2014 – Day 1 on July 24, 2014 in San Diego, Calif. (Photo by Joe Scarnici/FilmMagic/Getty Images)

An elephant eats a snack after performing at Ringling Bros and Barnum & Bailey Circus' “Circus Extreme” show at the Mohegan Sun Arena at Casey Plaza in Wilkes-Barre, Pennsylvania, U.S., April 29, 2016. Elephants take a final bow at Ringling Bros and Barnum & Bailey Circus on Sunday, ending a 145-year spectacle that delighted fans but enraged animal activists, who say the highly publicized retirement is not enough. (Photo by Andrew Kelly/Reuters)

Pretty Girls, Ugly Faces is a photo fad in which girls take pictures of themselves while posing in an unflattering manner, making a silly face or performing a physically strenuous activity.