In the lips, eclabium (lip's turning outwards) is seen; the lips are retracted through the skin surface and looks like a clown's smile.
On his physical examination, armorlike hyperkeratinized areas and fine deep fissures were observed over the whole body surface together with severe eclabium and ectropion.
There was ectropion, eclabium, tethering of nose and ears.
There was associated ectropion of both the eyes, eclabium of both the lips (Figure 2).
The lips are pulled and fixed into a wide grimace (Eclabium).
Pliability is an important variable that renders immense benefit in improving the movement range, prevention and early correction of contractures, including ectropion and eclabium.
Severe ectropion was observed in the eyes and eclabium was observed in the lips (Figure 2).
Eclabium (the lips are turned outwards), fish mouth appearence and flattened ears and nose are present.
 These babies are usually at birth covered by thick tight membrane resembling oiled parchment membrane or colloidion which is subsequently shed, often resembling ectropion and eclabium
Affected newborns may demonstrate ectropion (everted eyelids), eclabium (mouth held open by taut skin), and contracture of the fingers and joints.
Affected infants have thick, armor-like plates of skin with deep moist fissures, along with severe ectropion and eclabium. (4,5) Scaling and fissuring occur on the scalp, but hair is usually present.
He also had severe ectropion rudimentary pinna sparse hairline at the back of the scalp nasal hypoplasia and eclabium
with a fixed open mouth.