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[quote=Anonymous]No, PP.  Sorry, but I have worked in this area and the misinformation is bothering me.

From the CDC's guidelines for diagnosis/diagnostic criteria:

Based on these scientific findings and the extensive clinical experience of the SWG, the following facial dysmorphic features were determined to meet the dysmorphia criteria essential for FAS (based on racial norms):
••
Smooth philtrum (measured as 4 or 5 on Lip-Philtrum Guide*)
••
Thin vermillion border (measured as 4 or 5 on Lip-Philtrum Guide) (i.e., upper lip)
••
Small palpebral fissures (measured as ?10th percentile according to age and racial norms)
The individual must exhibit all three characteristic facial features; however, additional features also can be present. For example, maxillary hypoplasia is often noted for individuals with FAS as well as those associated features described previously. [b]Cross-sectional and longitudinal studies indicate that many features can change with age or development. After puberty, the characteristic facial features associated with FAS can become more difficult to detect (62). However, recent findings indicate that these three key features remain for the majority of individuals with FAS (47,50).[/b]

[b]CRITERIA FOR FAS DIAGNOSIS
A diagnosis of FAS requires the presence of all three of the following findings:
1.
Documentation of all three facial abnormalities (smooth philtrum, thin vermillion border, and small palpebral fissures);
2.
Documentation of growth deficits; and
3.
Documentation of CNS abnormalities (structural, neurological or functional, or combination thereof ).[/b]

Also --

Changes in presentation of criteria across development. As would be expected for any congenital syndrome, presentation of the diagnostic features can change over development. [b]With regards to facial features (small palpebral fissures, smooth philtrum, and thin vermillion border), it has generally been accepted that these features are most evident during infancy and the early preschool years.[/b]

[PDF]  
Fetal Alcohol Syndrome: Guidelines for Referral and Diagnosiswww.cdc.gov/ncbddd/fasd/documents/fas_guidelines_accessible.pdf[/quote]

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