Frenectomy (Tongue/Lip Tie Release): A Complete Guide

What is a Frenectomy?

A frenectomy is a minor surgical procedure that involves releasing a tight or thick band of tissue (frenulum) restricting movement in the mouth. The two most common types are lingual frenectomy (for tongue-tie) and labial frenectomy (for lip-tie).

In infants, a restrictive frenulum can cause breastfeeding difficulties, while in older children and adults, it may lead to speech issues, dental gaps, or oral hygiene challenges. The procedure is quick, often taking just a few minutes, and is performed using a scalpel, laser, or scissors under local anesthesia.

Parents and patients often worry about pain, but modern techniques (like laser frenectomy) minimize discomfort and bleeding, making recovery smoother. If left untreated, tongue or lip ties can contribute to long-term developmental and functional problems, which is why early intervention is often recommended.

Types of Frenectomy: Tongue Tie vs. Lip Tie

1. Tongue Tie (Lingual Frenectomy): This involves cutting the lingual frenulum, the tissue connecting the tongue to the floor of the mouth. A tight tongue tie can restrict movement, affecting breastfeeding, speech (e.g., difficulty pronouncing "L," "R," or "T"), and even swallowing.

2. Lip Tie (Labial Frenectomy): This addresses the labial frenulum, the tissue attaching the upper lip to the gums. A prominent lip tie may cause a gap between front teeth (diastema), gum recession, or breastfeeding challenges (poor latch).

Both procedures are similar but target different areas. Laser frenectomies are increasingly popular due to their precision, reduced bleeding, and faster healing. The right type depends on the patient’s symptoms—some may need both releases if multiple restrictions are present.

Signs & Symptoms: Does Your Child Need a Frenectomy?

For Infants:

• Difficulty latching during breastfeeding (clicking sounds, slipping off the nipple)
• Excessive gas or colic due to poor milk transfer
• Prolonged feeding sessions with frustration

For Children & Adults:

• Speech delays or articulation problems
• Difficulty sticking out the tongue or lifting it
• Gaps between front teeth or gum recession
• Chronic mouth breathing or snoring

If you notice these signs, consult a pediatric dentist, ENT specialist, or lactation consultant for an evaluation. Early intervention can prevent long-term complications.

The Frenectomy Procedure: What to Expect

A frenectomy is typically an in-office procedure lasting 5–10 minutes. Here’s what happens:

1. Evaluation: The provider assesses the frenulum’s thickness and restriction level.
2. Anesthesia: A topical or local anesthetic is applied (infants may not need it for laser procedures).
3. Release: The frenulum is clipped or lasered. Lasers cauterize blood vessels, reducing bleeding.
4. Aftercare Instructions: Parents/adults receive guidance on stretches, feeding, or speech exercises.

Most patients resume normal activities immediately, though infants may need practice latching post-procedure. Discomfort is minimal—often compared to a mild sore throat.

Benefits of Frenectomy (For Infants, Children & Adults)

For Infants:

• Improved breastfeeding efficiency (less pain for mothers, better weight gain for babies)
• Reduced risk of colic and reflux from excessive air intake

For Children & Adults:

• Clearer speech and easier tongue movement
• Prevents dental issues (gaps, gum recession)
• Better oral hygiene (easier brushing/flossing)

Studies show that 90% of breastfeeding mothers report immediate improvement post-frenectomy. Older patients often experience enhanced quality of life.

Recovery & Aftercare Tips

Recovery is usually swift, but proper care ensures optimal healing:

• For Infants: Offer frequent breastfeeding to soothe and encourage proper tongue movement.
• Stretching Exercises: Gentle massages prevent reattachment (especially for laser frenectomies).
• Pain Management: Infant acetaminophen (if recommended) or cold compresses for discomfort.
• Avoid Straws/Pacifiers: For 24–48 hours to prevent irritation.

Adults should avoid spicy foods and rigorous brushing for a few days. Most heal fully within 1–2 weeks.

Potential Risks & Complications

Frenectomies are low-risk, but possible issues include:

• Reattachment: If aftercare stretches aren’t followed, tissue may re-fuse.
• Minor Bleeding: More common with scalpel methods; lasers minimize this.
• Infection: Rare, but keeping the area clean is crucial.
• Temporary Discomfort: Soreness for 1–2 days is normal.

Choosing an experienced provider reduces risks significantly. Follow post-op instructions carefully.

FAQs About Frenectomy

When to Consult a Specialist?

Seek advice if:

• Your baby struggles with breastfeeding despite lactation support.
• Your child has speech delays or dental concerns linked to restricted movement.
• You’re an adult experiencing tongue/lip mobility issues.

A pediatric dentist, ENT, or oral surgeon can diagnose and recommend treatment. Early intervention often leads to the best outcomes.