Make sure baby is aligned with mom's breast (when the breast is at rest, 
sometimes the baby's lower shoulder needs to be snuggled in toward mom's 
ribcage to make sure both cheeks are the same distance away from mom's 
breast. Sometimes babies hang on with one half of the jaw to keep from 
falling off with the side that is farther away from the breast.

The other possibilities are torticollis (which goes along with jaw 
asymmetry) and hemifacial microsomia (an underdevelopment of parts of 
the facial bones and muscles that causes the entire midface to be 
smaller on one side), and rarely, facial nerve injury. If you can make 
and share more detailed observations, I'm sure Lactnetters can help you 
narrow down the list.

I would be concerned about the lack of weight gain, and would be a 
little more proactive in protecting the milk supply and baby's 
nutritional status.
Catherine Watson Genna, IBCLC NYC

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