Hutchinson - Gilford Progeria syndrome (HGPS) is a very rare syndrome characterized by early onset senescence. It is manifested as premature aging with involvement of hair, skin, nail, cardiovascular and bone manifestations. This syndrome has also been reported to be associated with craniofacial anomalies. With regard to these craniofacial phenotypes of Hutchinson - Gilford Progeria syndrome several studies are being undertaken all around the world. Here we present one such rare case of HGPS associated with craniofacial anomaly along with cleft lip and cleft palate in an eleven year old boy.