<s>[INST] My son was born 6 weeks early, now is 13 weeks old. He has an upper lip tie , a posterior tongue tie, a high palate, a pretty recessed chin, hypospadias, and a shallow sacral dimple. Several people have suggested that I need to look into mthfr and midline defects. Is there something more that I need to worry about with this mthfr stuff?Also at what age and in what kind of practice should we seek treatment for his recessed chin?Thanks! [/INST] For all the problems described a pediatric surgeon shall be consulted immediately. Further investigations will be required to find other anomalies. Depending on the development of child the pediatric surgeon will be able to decide when to go for surgeries. </s>