What does his palate look like? Sometimes this very arched upper lip is 
due to a very high arched palate, which is due to tongue restriction, or 
intrauterine positioning, or tongue muscle weakness, or... The tongue 
and palate might be just as much responsible for the difficulty 
maintaining a seal as the lips.

Catherine Watson Genna BS, IBCLC  NYC  cwgenna.com


On 6/12/2012 11:55 PM, Erika Lance wrote:
> Permission to post. I saw a 4 week baby. EBM feed baby. There is obviously
> a posterior tongue tie but I have never seen a baby have no seal... at all!
> This baby has a beautiful upside down U shape upper lip. Hopefully, that
> makes sense and the upper lip won't even touch my finger when I did a suck
> assessment. He refuses a bottle and mom latches him on pretty deep and it
> "appears" that he is latched to the breast but after one-two sucks he
> breaks the weak suction. He repeatedly pops off. He is gaining weight like
> a weed with mom's over flow of milk. I have never seen a posterior tie not
> compensate and use the upper lip. He doesn't use the lips or the tongue.
> Any thoughts of what to do for this baby? I am afraid that the frenectomy
> won't help necessarily the absence of any attempt to hold anything in his
> mouth. Thoughts??
>
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