The asymmetric faces due to congenital Hypoplasia of the Depressor Anguli Oris Muscle (DAOM) should belooked for because these infants have additional associated anomalies in over 20%of cases. During crying, angle of mouth and mandible are pulled down with flattening of the nasolabial fold on the normal side due to unopposed action of DAOM. Cardiovascular anomalies and congenital dislocation of hips are most commonly associated.We conclude in this case as we know there may be any congenital anomalies are found but in this child there is congenital anomalies were found in cardiac i.e. having PDA of 4mm and Left to right Shunt. No treatment is required because the asymmetry is not noticeable in a grown up child.

Keywords: Asymmetric; Hypoplasia; Infants; Congenital; Anamolies.