Tongue Tie 101

Why Is a Tongue/Lip Tie Release Recommended?

Tongue- and lip-ties occur when the thin band of tissue that connects the tongue or lip is too tight, limiting natural movement. This restriction can affect feeding, speech, dental health, and even sleep.

For Infants:

• Difficulty latching or staying latched during breastfeeding
• Clicking sounds, poor weight gain, or prolonged feeding sessions
• Gassiness or reflux from swallowing air
• Maternal pain, nipple trauma, or low milk transfer

For Children:

• Speech or eating difficulties
• Mouth breathing or snoring during sleep
• Crowded teeth or spacing issues due to tension on the gum tissue

A tongue or lip tie release, known as a frenectomy, gently removes this restrictive tissue to allow proper mobility of the tongue and/or lip. This can lead to more comfortable feeding, improved oral function, and better long-term growth and development.

Benefits of Laser Technology

At our office, Dr. Simi uses an advanced CO₂ laser to perform frenectomy procedures. This state-of-the-art technology allows for a precise, gentle, and efficient release.

Benefits include:

• No sedation required – safe and well-tolerated for infants
• Quick procedure – most releases take just a few minutes
• Minimal bleeding or swelling – the laser seals tissue as it works
• Reduced risk of infection – sterilization occurs instantly with the laser
• Fast healing– babies can nurse immediately after the procedure
• Laser treatment also allows for greater precision, ensuring only the restricted tissue is released while protecting surrounding structures for optimal comfort and healing.

Consultation/Pre-Appointment (Infant):

• Please avoid feeding your baby prior to the procedure, as the goal is to encourage them to feed immediately following treatment
• We will discuss your baby’s medical history, including whether they have received a Vitamin K shot (under 6 months), what to expect pre-/post procedure, as well as review stretches that are recommended to promote healing and avoid re-attachment of the tie

Procedure (Infant):

• To safely treat your baby and as we use a laser for treatment, we ask parents step out of the room
• We swaddle the and provide infant goggles for the baby’s safety
• The procedure is usually very quick
• We will bring your baby out and encourage you breast/bottle feeding immediately after.

Post-Op Care/What to Expect:

• The procedure only takes a few minutes, but full healing of the lip and/or tongue usually takes around 14 days. Continue normal oral care, but avoid the surgical site for the first 3–5 days to prevent bleeding and support healing.
• You may notice a white or yellow patch at the surgical site. Its color may change during healing, this is completely normal.
• Some discomfort and swelling is expected and usually resolves within 24–36 hours.
• Perform exercises for 10 days, 4 times per day, for 30 seconds each time.
• Consider scheduling an appointment with your lactation consultant within a few days after the release if you experience any feeding difficulties.

Frequently Asked Questions

What ages do you treat?

We see infants from birth to age 2, and children ages 6 and up. For children ages 2–5, the need for treatment is evaluated on an individual basis.

Do I need other providers involved in my child’s care?

Yes! We believe in a team approach to help your child thrive. Along with Dr. Simi’s care, your baby may benefit from working with a lactation consultant, feeding or myofunctional therapist, chiropractor, or speech and occupational therapist. Each plays a special role in helping your little one feed, move, and grow comfortably.

Will I see results right away?

Some babies improve almost instantly, while others need time to adjust as they learn to use their tongue and lips in new ways. With practice, patience, and guidance from your care team, you’ll start to notice steady progress.

Can I be with my baby during the procedure?

While we understand how important it is to be close, we ask that parents relax in our waiting room during the short procedure. Your little one will be back in your arms within minutes for comfort and feeding.

Are the stretches really necessary?

Yes, they’re a big part of the healing process. Stretches help prevent the tissue from reattaching and encourage full movement. They only take a minute or two and get easier with practice!

Is anesthesia needed?

For infants, no anesthesia is needed, they can feed right after the release. Older children may receive a small amount of topical or local anesthetic to keep them comfortable.