Laser Lip and tongue tie revision
Our office works very closely with multiple IBCLS’s and speech therapist. We even have Valeri Gatlin IBCLC in our office on a regular basis during the revisions to help mothers achieve optimal feeding immediately following the procedure. Our doctors have completed many extra training courses specifically aimed at appropriate diagnosis, treatment and aftercare. We understand that the mother baby breastfeeding dyad is of the upmost importance and we have been able to offer many mothers the ability to successfully breastfeed their infant when they previously had significant difficulty!
What is a “Tongue tie or Lip Tie”
A tongue-tie or lip-tie is more common than one would think. It’s often misdiagnosed, or under-diagnosed, and thus the reason why it is so often missed at an early stage in life. It is a mid-line defect of the frenum, resulting in an excessively “tight” or taut fibrous attachment limiting the range of motion of the tongue and the lip. These limitations in movement can cause significant breastfeeding difficulties in addition to other health problems. These health problems include decay, crowding, spacing, speech difficulties/delays, improper food clearance, digestive issues, heightened muscle tension, airway compromise, sleep apnea, tension headaches, clenching, grinding, muscle fatigue and overall skeletal and craniofacial development.
What Is A Frenectomy or Frenotomy?
A frenectomy or frenotomy refers to a corrective procedure done to release a tight frenum. When done with a laser, the terminology is essentially interchangeable.
How Does the Laser Work?
Our office uses a CO2 laser. This is a cold, non-touch laser which allows for gentle treatment and optimal healing of the tissue. The laser seals the blood vessels as it works so there is little to no bleeding (unlike with scissors which often require an additional medicament to stop the bleeding). No sutures are needed. Additionally, the laser is bactericidal and sterilizes the wound and surrounding tissue. Therefore the risk of infection is very minimal.
How to prepare for the first appointment and what to expect
- Try to not nurse immediately before the procedure, being able to nurse following the procedure helps calm your infant and allow for you to feel the positive changes of increased tongue mobility.
- Please come to the appointment with all (patient portal forms) (hyperlink to forms) completed online in advance so that we can focus on your child from the beginning.
- We will spend the first portion of the appointment discussing your concerns, symptoms and completing a clinical exam. If we determine that your child would benefit from a frenectomy procedure there are situations in which we can complete the procedure in the same day.
- This procedure is a quick, in-office treatment. No general anesthesia is needed or recommended. During the procedure, everyone present in the room must wear protective eyewear.
- Numbing medication (local anesthetic: lidocaine) is used to completely numb the small area where the laser will be used.
- After the procedure is completed you will have the opportunity to use our private nursing room to nurse and soothe your infant. Many times mothers will experience improved breastfeeding immediately following the procedure.
What to expect after the procedure
Following the procedure there are a few main components for success:
- Post operative stretches (active wound management)
- Follow up with our office and other necessary professionals