Figure 3.

Facial photographs of patients with LDS show long faces, widely spaced eyes, downslanted palpebral fissures, thin vermilion of upper lips and micrognathia in all of them (a–h). Additionally, low set ears (b–d), ptosis (b) and wide mouth with downturned corners (d) were noted. Photographs were taken at ages: 7 months (a: Patient 44), 6 years (b: Patient 39 and c: Patient 40), 8 years (d: Patient 42), 9 years (e: Patient 45 and f: monozygotic twin of Patient 45), 16 years (g: Patient 41) and 36 years (h: Patient 43).