OroFacialTx
Expert care from Certified Speech Pathologists and Accredited OroFacial Myofunctional Therapists


Let our experience be your gateway to better breathing, sleeping and eating.
At OroFacialTx, we take a holistic approach to therapy to support infants, children, teenagers, and adults at every stage of life. Whether you are seeking help for an infant with feeding challenges, a toddler with picky eating, a child with oral habits, a teen struggling with speech clarity and sleep disordered breathing, or an adult with facial and neck tension from TMJ concerns, our goal is to uncover the root cause and create a personalized therapy plan. By addressing oral function, muscle coordination, and healthy habits, we help infants, children, and adults achieve lasting improvements in breathing, speaking, eating, and sleeping.
Let our experience be your gateway to better breathing, sleeping and eating.

At OroFacialTx, we take a holistic approach to therapy to support infants, children, teenagers, and adults at every stage of life. Whether you are seeking help for an infant with feeding challenges, a toddler with picky eating, a child with oral habits, a teen struggling with speech clarity and sleep disordered breathing, or an adult with facial and neck tension from TMJ concerns, our goal is to uncover the root cause and create a personalized therapy plan. By addressing oral function, muscle coordination, and healthy habits, we help infants, children, and adults achieve lasting improvements in breathing, speaking, eating, and sleeping.
Meet our Experts
For over a decade, OroFacialTx has served families across the great Houston area with overcoming challenges relating to lips, tongue, cheeks, and jaw functions that impact communication, swallowing, and breathing. We offer tailored treatment for patients of all ages, ensuring every family member receives the care they deserve.
Success Stories
Andrea was a Godsend for our family. We needed intervention with our newborn son, and she came and offered so much help. She saved my milk supply and came in with a sense of urgency and experience, while also offering a listening ear and lots of compassion. She’s experienced in more than just lactation which made her the full package. She truly cares about the families that she works with and seeks to understand and support their decisions, while offering wisdom and advice. She communicates effectively and is always a phone call or text away! Highly recommend Andrea!
Andrea has given us tools to not only help all three of our boys resolve tongue mobility and strength, but also thumb sucking and fluency concerns as well. She is great working with them too. She keeps the parents and kids well informed of the next steps to take, and as a fellow Speech-Language Pathologist, that’s something I appreciate!
My son has been more motivated to practice his exercises since working with Ms. Sue!
I started seeing my daughter’s bite change within 6 weeks!
My daughter has made great strides with her loving, patient Speech Therapist, Sue Merino. Sue was encouraging every step of the way.
Andrea was fantastic with my son! She correctly identified and corrected his lateral lisp and made the process enjoyable for him. We spent a year in traditional speech therapy, with no real progress on his lisp. He graduated from OroFacialTx speech therapy with NO LISP. I’m so thankful for her! I HIGHLY recommend Andrea! I’m going to miss seeing her, but I’m so glad that we don’t have to continue Speech Therapy!
My daughter and I have been seeing Sue for a few weeks now. We have had nothing short of an amazing experience. Our initial evaluations were extremely informative and thorough. It is such a relief to have someone explain the WHY, instead of just throwing a treatment plan at you. She truly cares about the success in their treatment. She is extremely knowledgeable in her profession and provides research to explain the science behind myofunctional abnormalities.
I feel like in 3 months with Andrea, my daughter made more progress than in previous years of speech therapy. Highly recommend!
Andrea Butler was the fifth lactation consultant I worked with, and I cannot begin to tell you how wonderful she is. My son was born with a lip and tongue tie. This made my breastfeeding journey very difficult, and I often found myself crying wondering if this is something I could do. Andrea was there to support me and here we are six months later. Please moms do not hesitate to go here. Andrea- thanks so much for everything you did to help my baby boy.
Sue was extremely thorough and professional and made both my daughter and I feel comfortable. She really put all the pieces together for issues my daughter has been having for years. I wish we had found her sooner! Highly recommend!
We truly enjoyed our visit. I came in not knowing much about my daughter’s tongue tie and tongue thrust. I walked out feeling like we could manage both with a solid plan. She was great at communicating with both me and my daughter. Sue made it fun and had a place for my daughter to play while we had a solid conversation. That’s HUGE in a doctor’s office for me. I feel like we are in such great hands.
This ended up being the absolute best doctor’s appointment we had ever been to! Andrea spent a lot of time explaining things to me and seemed to truly care. I highly recommend her to anyone looking for help with their children’s speech.
I went to see Andrea Butler for therapy before and after I had a tongue tie released. Little did I know how my tongue had never functioned properly. She was fabulous! As an adult getting a release, I thought it might be awkward going for therapy. It wasn’t in the least. She made me feel comfortable right away and was so very kind and encouraging when there were things that were difficult to do. My results from following her program for me are great. I would highly recommend her to anyone.
We love Ms. Andrea! Within 6 months, she took my 4 year old son from not being able to be understood by anyone to now being understood by everyone! We spent 2 years with another speech therapist before her just working on sounds, and didn’t get very far. After six months of tongue exercises and relearning sounds the proper way, his speech completely changed and drastically improved. She was also able to identify other health issues going on with him and refer us to other resources to help with those.
My daughter was born prematurely and, even after coming home from five weeks in the NICU, continued to present us with feeding challenges. At one point, she refused to take a bottle at all despite having done so before discharge from the hospital and was only slowly gaining weight. It was such a stressful time, but the ONE thing I remember distinctly was the first time we walked into Andrea’s office and felt truly understood.
Andrea took the time to get to know our daughter and her story and, importantly, took into account the significance of the family system… we had been through a shared trauma those five weeks in the NICU.
Andrea utilized a combination of therapy techniques to help our sweet girl make significant strides towards her goals, something that we had not seen happen before. Within a relatively short time, she was nursing better and taking her practice bottles again without difficulty.
Andrea brought so much to our family but I think the greatest gift she gave us was her ministry of presence. She comes in as someone who is clearly knowledgeable and experienced… but also feeling. She looks at the whole picture and we will forever be grateful for her work with our daughter (and with us!) during the most difficult season of our parenting journey thus far. – Laura P.


