Do people with FASD look different? FASD is a ‘hidden disability’, meaning that you cannot tell by looking at someone whether they have the condition. Around 10% of individuals have specific facial features that are indicative of PAE, these are a thin upper lip, smooth philtrum, and narrow eye opening. The remainder of individuals with a history of PAE do not have these features, which has historically brought challenges for the individual and their families in terms of professionals recognising the impact of PAE. Manage Cookie Preferences