The long-lasting impacts of fetal alcohol exposure encompass four broad categories of clinical features. The first clinical feature of FASD is craniofacial abnormalities. The craniofacial abnormalities include a short palpebral fissure length, defined as the distance between the inner and the outer corner of the eye; a thin vermillion border of the upper, which is the demarcation between the lip and surrounding skin; and a smooth philtrum (Figure 1) (5). The philtrum is a midline groove, located above the upper lip; the smoothness of the philtrum is graded on a scale from 1 to 5 with scores of 4 and 5 indicative of an abnormality (Figure 2) (5). The second clinical feature is growth retardation in both the prenatal and postnatal period; growth
