Hes Fine!!!

Back at Zachary's 15 month appointment his doctor wanted to know if Zach and I had seen the pediatric neurologist yet. I said no because they were just running us around bushes and I was getting tired of it. So to make a long story short ... we ended up seeing Zachary's neurologist on March 12th. And for those that forgot why Zachary needed to see a neurologist is because his pediatrican is worried about Zach's droopy right lip? Well there isn't anything wrong with our baby boy, which makes me happy!!! But I did find out that Zachary's lip is under developed or something like that. The doctor called it HYPOPLASIA OF THE RIGHT DEPRESSON ANGULIS ORIS MUSCLE. In an article I read it's defined as:

"Asymmetric crying facies (ACF) refers to a neonate or infant whose face appears symmetric at rest and asymmetric during crying as the mouth is pulled downward on one side while not moving on the other side. It is a minor anomaly found in 1 per 160 live births and is caused by hypoplasia or agenesis of the depressor anguli oris muscle (DAOM) or compression of one of the branches of the facial nerve. Associated major and minor malformations as well as deformations have been described. The risk of associated major anomalies with ACF is 3.5-fold higher compared with the general population. Such anomalies are most common in the cardiovascular system and cervicofacial region. Certain clinical signs may differentiate ACF from true facial paralysis. Physical findings, electromyography, and ultrasonography studies can help differentiate between the two causes of ACF. An approach to the diagnostic evaluation is suggested, both for initial evaluation and for decisions about subsequent treatment of ACF."

So pretty much what the doctor told me is part of Zachary's muscle on his right side isn't working and thats why when he cry's and sometimes smiles his lip droops. He also drools alot on that one side. Zachary's doctor says that he should grow out of this over time and by the time he's out of high school (I believe) it should be back to normal. If its not he'll need plastic surgery to fix it but I wont worry about that till we need to. As you can see from some of the pictures below (birth, 7 months, and 15 months) its been there from day one.