If your Maltese is under the standard weight, you have to take extra care to keep it safe and healthy. When you first bring home a "teacup" Maltese puppy, check for signs that it is undernourished.

These may include shallow breathing and general weakness. In addition, the eyes may lack typical Maltese brightness and produce a watery discharge. If you notice any of these signs, consult a veterinarian immediately so that you can avoid the damage malnourishment may cause.

Any "miniature" Maltese will require more frequent checkups than its larger counterparts. The breed's already-frail bones are even more easily broken in smaller dogs. Setting up steps or ramps that lead down from places your dog likes to be becomes even more vital with a tiny Maltese.

Teach it to use these steps and scold it when it tries to jump down. Regular checkups will include looking out for problems with the lungs, heart, or other organs. Discuss your dog's health with its veterinarian and heed any advice you receive.