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Re: R: frequent blebs and engorgments

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Hi, Jan.

Combining hydrocortisone and vit E--might be a very good combination! We will all have to keep track with our next opportunities and report back here.

LOL! Long years ago, before I was spending so much time on breastfeeding issues, I liked to read a lot about health, alternative medicine, etc. Long ago, vitamin E was touted as magic for all things related to skin, like burns, wounds, etc. I figured it couldn't hurt to try it on those pimples that wouldn't pop. What I have found is that if I start applying it 2x/day as soon as I notice one, what used to take 3-4 days when I was younger now takes 4-6 days now that I am older. :( And if I ignore it for a couple weeks before I start putting the vit E on it, it can take 2-3 weeks before it rises enough to slough off. Maybe the skin over it gets thicker as time passes?

Dee

Dee, you might be on to something there. I certainly don't think it would hurt, and it might help....

Hydrocortisone thins the skin, which is why I'm not a huge fan of APNO since it contains hydrocortisone which only should be used for a few days, not for a long period of time. But -- I wonder -- and it is also anti-inflammatory which would go along with 's doc's claim that the white skin is inflammatory cells -- if we used a little Vit E along with some hydrocortisone if we couldn't take care of the inflammation and the thick skin and be able to scrape off the bleb.

Just musing here....

Dee, how did you ever come up with using the Vit E on those pesky sebaceous plugs on the face?

Jan

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Hello, Lou.

While I was sure that the white tissue that shows after a frenotomy is not inflamed, I could not explain it well. Therefore, I asked our wonderful doc here who clips posterior tts to explain it. Here is what she says:

Hi Dee,

The "virgin" frenulum is white and the surrounding tissue appears dark pink or red, even when not inflamed. This is normal oral mucosa. Then when frenotomy is performed the diamond shaped wound is pink or red (or purple if genioglossus was reached). The next day the wound is white, yellow or gray, normal for healing wound in the mouth. None of these indicate inflammation and I don't see much inflammation. Inflammation would be detected more by swelling, as happens for the first 24 h after a lip tie is cut, with the upper lip being a bit puffy and tender.

Hope this helps.

Amy Grawey, MD, IBCLC

White not Red

I don't know if it is inflammatory tissue but the diamond shape under the tongue after a laser frenotomy.

Lou Moramarco IBCLC

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