This has been bothering me.  In Australia, pacifier use (here called
"dummies") is close to universal. Many the pacifier designs hold the upper
lip down. I recently noticed that, even after release of tight upper lip
ties, some parents are using these pacifiers. The idea of not using one
seems alien to them. Pacifier use is regarded as so "normal" here that,
when I mentioned this, the parents just said they were minimising
the pressure on the lip from the pacifier!

The way I see it, it is counter productive to have a tight upper lip
released, and then, while the wound is still healing and needs to heal
*open*, using a device that holds the lip down. If parents aren't actually
using a dummy (pacifier) during a consult, it is easy to miss raising this
matter with them. I am mentioning this here as some of you may have noticed
the same, or will want to discuss the matter with parents in the future.

Virginia
Dr Virginia Thorley, OAM, PhD, IBCLC, FILCA
Ipswich, Queensland, Aust

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