Lip Ties/Tongue Ties
What is a Tongue or Lip Tie?
A “tongue-tie” is a congenital anomaly characterized by an abnormally short lingual frenum, which may restrict mobility. A new baby with a tight tongue and/or lip can have trouble latching properly and may experience poor weight gain. If they cannot make a good seal, they may swallow air causing gas, colic, and/or reflux. It is also common to hear clicking noises when the baby is trying to feed. Nursing mothers who experience significant pain while nursing or whose baby has trouble latching on should have their child evaluated for tongue and lip tie evaluated by International Board Certified Lactation Consultant (IBCLC).
How is a procedure performed?
Normally the procedure is quick and very well tolerated. We take every measure to create the best experience and to minimize pain for our patients. For a typical patient, a topical numbing ointment is applied to the area before the procedure. Once numb, they are briefly treated in our laser treatment room, and then immediately reunited with you, where you have the option of immediate breast/bottle feeding depending on what you’re comfortable with.
What to do afterwards
Timing: Do one stretch on the evening of surgery. Then, skip ahead to the next morning (keep in mind that this is the only time that you should skip the overnight stretch. My recommendation is that stretches be done 6x/day for the first 3 weeks, and then spending the 4th week quickly tapering from 6 to 5 to 4 to 3 to 2 to 1 per day before quitting completely at the end of the 4th week. I find it's easiest for parents to do 5 of the stretches during their waking hours and one of those stretches in the middle of the night, taking care to not go more than 6 hours between stretches. diaper changes are a good time to do the exercises.