Vicky,
 
A Manhattan ENT who clips both lingual and labial frenulums explained that  
she clips a labial frenulum if the upper lip cannot be folded up to the 
nose  (hope one can visualize this).  Pictures on Larry Kotlow's website show  
effects of tight labial frenulum; kiddsteeth.com, click on articles and it's 
the  first one listed.  The little blister on the mid upper lip is also an  
indication of tight upper frenulum.  It would seem that as baby gapes for  
latch the upper lip is pulled in and that tension makes baby feel it and 
respond  by sucking upper lip; sounds tight to me.  
 
Barbara Latterner, BSN, RN, IBCLC
++++++++++++++++++++++++++++++++++++++++++

Has anyone associated a  tight upper labial frenulum with strong tendency 
to suck the upper lip during  attempts at latching? The baby I have in mind 
also doesn't flange his upper lip  outwardly with the bottle or breast. Yet 
the ped said "no tongue tie or tight  labial frenulum evident". I see his 
labial frenulum but not really sure how  tight is tight, and the symptoms give 
me reason to wonder. 
Vicky York,  IBCLC, CPD
Postpartum Care  Services
www.vickyyorkdoula.com

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