Findings of developmental delay, failure to thrive, large head with frontal bossing, wide open fontannels, hypertelorism of the eyes, short neck with thin lax skin
and skeletal abnormalities are the features consistent with other cases of Lenz-Majewski syndrome described in literature.
, pigmentation, elastosis and wrinkles are signs of photo-damage.
Nasolabial flaps leave facial scars and at times are hair bearing but are used very successfully especially in old age patients with lax skin
. Khanna and Andrade reported the incidence of shrinkage, contraction and rejection in 12 cases of skin grafts.9 Borle and Borle also reported disappointing results with skin grafting to cover the raw area, so used tongue flap instead.8 Lateral tongue flaps can be raised either anteriorly or posteriorly.