At the Craniofacial Pain, Headache and Sleep Medicine Center of Pennsylvania, Dr. Nelly Silva focuses on compassionate, comprehensive, and conservative care. We pride ourselves in a team approach in order to best support our mothers and babies. A dyad that is struggling with nursing or bottle-feeding should typically be referred to an International Board-Certified Lactation Consultant (IBCLC) and/or Speech-Language (SLP) for a comprehensive assessment of mother, baby, and the nursing dyad. If a tongue-tie is suspected, a full specialized assessment of tongue function is performed– HATLFF (Hazelbaker Assessment of Lingual Frenulum Function) in order to achieve a quantitative assessment of tongue function. In addition, it is our belief that every baby/mother dyad needs pre and post-operative care to ensure proper counseling, education, and most importantly, a strong support system postoperatively to maximize success.