If the need should arise before the bris or our post-bris visits, as an Oral Surgeon, I can assist with laser frenectomies (also known as laser frenulectomy, laser frenotomy, or laser lip-tie or tongue-tie release) and would be happy to speak to your physician, midwife, and/or lactation consultant and provide guidance on treating a tongue or lip tie in your baby.
Does my child have a tongue or lip tie?
Children may be born with a combination of conditions called a tongue-tie and/or lip-tie. These attachments can cause restrictions in movement, resulting in difficulty with breastfeeding. These concerns can generally be improved by a simple release done with a soft tissue laser.
What is a Frenectomy?
A frenotomy or frenectomy is a procedure that consists of releasing the frenum under the tongue or upper lip to allow for better range of motion. It is a simple procedure that can be done without anesthesia using a laser. The laser is very efficient at cutting and coagulating soft tissue with the least amount of thermal damage, little to no bleeding, less post-operative discomfort, and no sutures are needed. The wound will appear as a small diamond shape with a dark yellowish coloring which should form a film within a few days, similar to the appearance of a wet scab. The risk for infection is little to none.
Since the mouth heals very quickly and wounds typically contract to the center as they heal, stretching the newly detached area is key to preventing reattachment and achieving an optimum result. I will give you detailed post-frenectomy instructions to ensure the best possible outcome for your child. It is normal for babies to experience mild discomfort and minimal swelling after a laser frenectomy, but these symptoms should quickly subside after 24 hours. Breastfeeding after laser frenectomy will not interfere with healing, and many infants find it reassuring.