Designed by a pediatrician, these dolls realistically reflect the following characteristics of Down Syndrome. Ears: Small ears set low on head with a fold at the top. Mouth: Small mouth. Tongue: Protruding tongue. Fingers: Shortened fingers. Eyes: Almond shaped eyes. Hand: Horizontal crease in palm of hand. Toes: Gap between 1st and 2nd toe. Head: Flattened back of head. Nose: Flattened bridge across nose.