Looks like Foetal Alcohol Syndrome - thin upper lip, smooth philtrum, tiny eye openings. Exact same facial structure as someone I know who suffers from it.  Sadly it also impacts mental impairment. The person I knew looked much older, had noticeable physical stature impacts (shorter with hunch back as well as the FAS face), internal conditions (organs dont develop properly) and had the functioning capacity of a 7 year old. Also, as they have the mind set of a child, they eat like one (no self control, entire cakes), so they are likely to be fat. I know FPH dont usually like "allowances", but FAS is brutal and really they can't help their lack of self control.