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This blog explains a step-by-step approach to managing TOTS, emphasizing assessment, functional support, and addressing compensation before considering frenotomy, and highlights the importance of collaborative care for lasting feeding success.

Breast and nipple anatomy varies, and those differences can influence how breastfeeding feels, especially in the beginning. Whether nipples are flat, inverted, long, or everted, or breasts are large or small, most families can breastfeed with the right latch and positioning support. If anatomy is making feeding challenging, guidance from a lactation consultant can make a meaningful difference.