IF (and it is an important "if") the latch is really good, AND the baby has no tongue-tie whatsoever, then it may be that the fissure needs to heal by secondary intention.  I have seen these fissures heal very quickly if mom uses TNO and wears a breast shell for inverted nipples while awake. The shell pushes on the base of the nipple to hold the edges apart so it can heal from the base. 

Kathy Leeper, MD, IBCLC


Sent from my BlackBerry Smartphone provided by Alltel

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