tongue tie and lip tie

lactation consultant who helps with tongue tie and lip tie

breastfeeding problems caused by tongue tie and lip tie

  • nipple pain and damage
  • poor milk transfer or weight gain
  • shallow latch
  • reflux & colic symptoms
  • extreme gassiness
  • frequent, insufficient feedings
  • nipple shield dependence
  • breast or bottle refusal
  • plugged ducts or mastitis
  • cracked, blistered, bleeding nipples
  • mastitis
  • chomping, chewing at breast
  • low milk supply
  • creased, flattened or "lipstick" nipples

Have you noticed any of the breastfeeding problems listed above, even after working diligently to get a good latch?  Has anyone told you “the latch looks good, you just need to toughen up” or “your baby’s tongue/lip is tight/restricted?” 

When my first child was born I was told her latch looked great, yet I was suffering from bleeding, cracked nipples, in excruciating pain, and had mastitis by the time she turned a week old.  I now know she had a severe lip tie, but 12 years ago I’d never heard of such a thing.  I would not wish the pain that I endured while nursing her on my worst enemy!

Tongue tie and lip tie can be controversial.  It is important to point out that IBCLCs can not diagnose a tongue tie or lip tie (or anything else, for that matter- we can’t diagnose, period). 

I firmly believe that not all frenums are ties, not all problems can be fixed with latch, and tongue ties can’t be diagnosed simply by looking at a picture.  

Nevertheless, I have had extensive training in assessing normal oral function for newborns and infants and am very experienced in identifying tongue and lip ties.  I do a manual oral exam, and use multiple assessment tools to assess whether your baby’s oral function is optimal.

If your baby does have impaired oral function or restricted tongue or lip movement, I will work with your family on an individualized care plan that may include latch and positioning adjustments, suck training exercises, and/or evaluation and treatment of tethered oral tissues by a trusted, experienced laser provider.

If your family chooses to have your baby’s tongue tie and/or lip tie diagnosed and treated, it is imperative that you work with an IBCLC before and after treatment in order to protect your milk supply and help your baby regain full oral range of movement.

My moderate approach to tongue ties and lip ties has helped hundreds of families in MetroWest Massachusetts.  Worried your baby has a tongue tie or lip tie?  Let me help you, too.

"Rachel, thank you for your time, expertise and kindness. I have no doubts that you gave me a continued nursing relationship with my baby when I was sure it was ending. I am forever grateful for the gift you have given us."
Laura, mother of tongue-tied baby
Hudson, MA