For infants, we conduct a careful examination to assess the severity of the tongue-tie and its impact on feeding. For older children and adults, we assess the impact on speech and gum health. We discuss the procedure and determine the best method (laser or scalpel). For children, parents should be prepared to hold or comfort the child. We will provide specific instructions for infant feeding times before the procedure.
Frenuloplasty is a very rapid procedure. For infants, the procedure is often performed using only a Local Anesthetic or numbing gel, though older children may receive nitrous oxide or light sedation. The surgeon carefully releases the frenulum using sterile surgical scissors, a scalpel, or a soft-tissue laser. The goal is to free the tongue’s movement without causing undue trauma. In many cases, the incision is small enough that sutures are not required. The procedure typically takes only a few minutes.
In infants, feeding can often commence immediately, and parents are instructed on special tongue exercises to prevent the frenulum from reattaching. For older children and adults, mild soreness is common for a few days, managed with over-the-counter pain relievers. We recommend avoiding sharp or crunchy foods initially. Stretching exercises are crucial for up to two weeks to ensure the full range of motion is achieved and maintained.
