The family of a Samoan baby with extreme facial deformities say they are now looking at other options for the child.
It was hoped that four-month-old Miracletina Nanai would be flown to New Zealand for treatment but medical experts in the country say surgery will not help her.
Following that decision New Zealand's immigration service turned down a visa for the child.
The baby is currently in America Samoa undergoing a cat scan.
A family spokesperson, Ame Sene, says the denial of the child's visa has been a blow to the family but they have not given up hope.
"The family are not happy, they are very disappointed because they really had hope. There are a lot of other options we can always find another way to either get back to New Zealand or go to the United States of America where there are more opportunities there."
Ame Sene says the family has been offered a lot of support.