Alisa Sacker MD, IBCLC

     I was with Kaiser Permanente as a partnered general pediatrician in the outpatient clinic and in the hospital NICU for over 20 years. While there, I started the first laser frenectomy program in San Diego for newborns. I first became interested in ties when my teenage daughter had her braces removed at the end of her orthodontic treatment. Her Orthodontist used a laser to remove her upper lip tie as I watched. A light bulb went off in my head and I finally understood why the two of us had such issues breastfeeding. I then checked her tongue and, of course, found a significant posterior tie. That started my journey. I learned how to identify ties and do a scissors frenotomy.


     Word spread to other pediatricians and lactation consultants that I was helping many more Moms and babies overcome breastfeeding challenges. I became a very strong advocate and started a quest to make even more of a difference. It ended up taking the next two challenging years to get a soft tissue laser approved by such a big organization as Kaiser Permanente. I developed policies and procedures, helped to purchase equipment, and completed training sessions. They call me “the pioneer” in the organization. I had patients travel from Los Angeles and Riverside County to see me for laser frenectomies. After being unable to grow and expand the program, I resigned from Kaiser Permanente in 2017 after 22 years of service. To this day there is still minimal education in medical school or residency about tongue ties and how they affect breastfeeding.


     With a private practice, I look forward to having a family-oriented, multi-disciplinary approach as we diagnose and treat ties in babies, children, and adults.  I look forward to giving many more lectures to educate, grow interest, and change lives. I served as a board member of the International Association of Tongue Tie Professionals, IATP, where I use my passion to further educate other health professionals. In private practice, I will be able to focus on expanding education about ties and help more Mothers breastfeed their babies with success. I do it all for moms and kids to make a difference in their lives now, and in the future.  Watch a short video of my story here

Rosanne Berger DDS, IBCLC

    It was at the University of Southern California that I earned my undergraduate degree. Following that, I received my doctorate from the USC School of Dentistry in 2000. While there, I earned several prestigious awards for excellence in dentistry. I have been practicing dentistry for 20 years with my focus on children. I have since developed a passion for treating the problems caused by tongue ties. Seeing the long term negative effects on children’s teeth, gums and jaw joints, and the speech problems tongue ties caused over the years, pushed me to rethink my career path. I am now changing my focus to deal more directly with preventing these issues.  My goal is provide a positive experience through early intervention for breastfeeding moms and children.

     I left Los Angeles to work alongside my sister, Dr. Alisa Sacker. I am so excited to be living in San Diego! I look forward to enjoying more time with my family, continuing my yoga, hiking and, of course, being with the family's three labradors.  I am now the first dentist in California who is also an IBCLC!

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Jarrah Foster, BS, MBA, IBCLC


     My interest in studying breastfeeding began during a women’s health course in college. I was in awe of the science, physiology, and sociology surrounding human milk production. As I graduated with a degree in healthcare policy, I knew in the future, my work would provide support to women during the birth and post-partum period.


     Over the years, I started to see many family and friends struggle with breastfeeding and their new roles in caring for a child. I became aware of the gaps in care mothers experience after they give birth and how the arrival of a new baby is often a challenging adjustment that impacts the entire family. I would try to find ways to help my loved ones, but ultimately, I needed more resources. During this time, my work also changed from healthcare policy development, to management and contract negotiation strategy for a healthcare technology company. It finally came to a point where I made the decision to step away from my corporate career to pursue my passion of helping mothers and families.


     I am a proud graduate of the UCSD Extension Lactation Consultant program, and an International Board Certified Lactation Consultant (IBCLC). I am also a Master Certified Health Coach with the Dr. Sears Wellness Institute and a Babywearing Educator. In my IBCLC training, I worked in mainly outpatient clinics, and therefore I am specifically trained to help babies of all ages resolve complex breastfeeding issues. Currently, I am completing the HEARTraining (Human Empowerment and Resilience Training) to better assist families navigate trauma. Ultimately, my goal is to improve the breastfeeding experience of mothers, babies, and new families, so they feel supported and cared for during this time of great transition.

Karina Grant, BA, IBCLC


     I have always had a deep desire to care for others and be a part of promoting a happier and healthier community. Having earned my BA earlier in my adult life, I later decided to further my education and pursue a career in public health. 

     It was the birth of my first son that ultimately inspired me to become a Lactation Consultant. I was humbled by the challenges I faced in my own breastfeeding experience. I struggled to find the support I needed, but once I found it, it made all the difference. I turned that challenge into my life’s new mission.

I am an International Board Certified Lactation Consultant (IBCLC), earning my credentials through the UCSD Extension program. I obtained requisite clinical experience primarily in outpatient care. I am a proud member of the International Lactation Consultant Association (ILCA) and the Postpartum Health Alliance (PHA).

     I find volunteer work to be extremely rewarding. I have been an active member of La Leche League, through whom I have hosted many mother-to-mother support groups, providing resources and fellowship. I have volunteered in various departments in the hospital setting. I currently volunteer for a support center tailored to low income families with young children and regularly facilitate a support group for the local San Diego community.  

     My process of learning never stops; from continued education to sharing in the unique experiences with each family. We often hear the phrase, “it takes a village” when it comes to parenthood. I want to be a part of that village. My goal is to encourage each family to embrace the transitions of their breastfeeding journey, to connect with it and seize it with a “we can do this” attitude.

Scott Sacker C E*O (*stands for "Everything")

     I have known this beautiful, intelligent woman for more than 25 years ... and now we get to work together! I am so impressed with all that the amazing women at Team Tongue Tie have done over the last few years. I can honestly say that I am a very lucky man to be spending time alongside all of these talented women!


     Whether you end up at Team Tongue Tie or not, I want to be a resource to all who visit with me during our conversation together. It is my wish to make sure that I listen well when you call and share as much information so that the best decision can be made for your loved ones ... and, hopefully, have them come to Team Tongue Tie to be taken care of by our staff.  We are all here to help make sure that Mom's and Babies; children of all ages and adults are given the care that is needed!

     I hope to hear from you soon!