Personal experience here.  My baby was tongue and lip tied.  Had a frenotomy only at the hospital due to inability to latch (and pain on my part).  We never corrected the upper lip tie.  The "feeding picture" for him is to latch on, upper lip completely turned in, stay on for about 5 minutes only on one side and be done (feeding on demand about every 2-3hrs).  Yes we can hear swallows, but you would think he was a horrible nurser with a visual assessment only.  Pre and post weighs don't lie though, and he indeed transfers about 4oz in that short time frame with that apparent horrible latch.  He is now 5 months old, just over 18lbs (was born 7lb10oz), and my supply is great, in fact, we share quite often with other moms in need. I have to say it was a visit to the IBCLC 3 days after him being born that convinced me we would not be doing any interventions!  As a CLC, I was "seeing" the horrible picture but as a mom, the pre and post weight convinced me that he was transferring well, and that is all I needed to feel that we were doing great, even though it didn't "look" like it.  Over the last 5 months, weight gain proved us right.

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