The technique matters less than the outcome - mom or dad needs to lift 
or push back on the tongue sufficiently to visualize the diamond shaped 
incision for three seconds 5-8 times a day until bf is comfortable. If 
it becomes uncomfortable again, going back to tongue lifting for a few 
days usually helps.

Catherine Watson Genna BS, IBCLC  NYC  cwgenna.com


On 3/14/2011 9:01 PM, Zena Kay, IBCLC wrote:
> how do you do the tongue lifting? finger or tongue depressor?
> What about using a washcloth wrapped finger?
>
> ~Zena Kay, IBCLC
>
> -----Original Message-----
> From: Lactation Information and Discussion
> [mailto:[log in to unmask]] On Behalf Of Catherine Watson Genna BS,
> IBCLC
> Sent: Thursday, March 03, 2011 8:33 AM
> To: [log in to unmask]
> Subject: Re: [LACTNET] sore nipples after frenotomy
>
> Tongue lifting should start at the second feeding after the frenotomy,
> as long as there has not been problems with bleeding.  The goal is to
> prevent the frenotomy site from contracting or the edges from healing
> back together. Since scar tissue is less elastic, healing/scarring will
> make things worse.
>
> Catherine Watson Genna BS, IBCLC  NYC  cwgenna.com
>
>
> On 3/1/2011 4:51 PM, [log in to unmask] wrote:
>> Cathy writes:
>>
>> IATP  (International Affiliation of Tongue-tie Professionals) members have
>> been  finding this reduces the likelihood of needing to revise a
> frenotomy.
>> It's not  too late for her to start if she has not been doing  this.
>>
>>
>>
>>
>> ~~~ Is there a too early? Is it best to start by the next feeding?
>> Peace,
>> Judy
>>
>> Judy LeVan  Fram, PT, IBCLC, LLLL
>> Brooklyn, NY,  USA
>> [log in to unmask]
>>
>>                ***********************************************
>>
>> Archives: http://community.lsoft.com/archives/LACTNET.html
>> To reach list owners: [log in to unmask]
>> Mail all list management commands to: [log in to unmask]
>> COMMANDS:
>> 1. To temporarily stop your subscription write in the body of an email:
> set lactnet nomail
>> 2. To start it again: set lactnet mail
>> 3. To unsubscribe: unsubscribe lactnet
>> 4. To get a comprehensive list of rules and directions: get lactnet
> welcome
>
>               ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email: set
> lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet welcome
>
>               ***********************************************
>
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet welcome

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome