Dr. Kotlow in Albany, NY (http://www.kiddsteeth.com/
) did The Babe's tongue tie and upper lip tie at 5 days old. We were very lucky to have our homebirth MW diagnose the tt when The Babe was about 5 minutes old, and confirmed by Dr. Mike Morin 1 day later at her first ped visit.
Dr. Kotlow did not take our insurance, so it cost $450. This was a flat fee for the LASER surgery, all follow up visits, and any repeat procedures. He said her lip was the worst he had seen and the tongue tie was also very bad. She had to have both procedures repeated -- this is unusual for him. With each procedure there was a marked improvement in nursing.
This was THE BEST $450 I have EVER spent. I would be exclusively pumping now (and maybe divorced!) if she did not have the tt corrected. *The only negative thing about Dr. Kotlow, is that he said it wouldn't be the end of the world to give her some formula. At the same time we were going through our tt situation, his granddaughter was born with tt, he corrected it, so she was able to BF, but she was also supplemented with formula. He used this story to let me know it was "ok," in addition to point blank suggesting that I give her a few ounces of formula a day. Maybe it would have worked to supplement with formula, but that is a dangerous path to start down, especially since I was struggling to keep supply up with exclusive pumping. I was also POed at the subtle and not so subtle pro-supplementing advice I was getting.*
Dealing with a tongue tie is extremely difficult. Before the surgery I winced every time The Babe got near me because nursing was so so so painful. I also feel like I missed out on some initial bonding because when she was hungry I would have to sit there and pump while someone else held a screaming baby. (I could never get ahead in milk supply no matter how much I pumped.) It was devastating to have a crying baby, who you know is hungry, and not be able to take care of her -- instead I was hooked up to the pump. If I didn't have a lot of family help I don't know how we would have made it.
Thank you knowledgeable MWs and peds! And thank you Dr. Kotlow!