Tongue Ties and Lip Ties


When I began providing tongue tie and lip tie releases (frenectomies) many years ago, I found it to be one of the most rewarding procedures. With the help of a lactation consultant, the frenectomy can often help and correct breastfeeding issues, which can give prompt results and an enriched quality of life for the dyad of mother and newborn.
— K.Sawyer Negro DDS MSD (Dr. Sawyer)

What is a Frenectomy and why is it needed?

Our mouths have several bands of tissue called frenums. When there is an abnormal development of those frenums, a tethered oral tissue (TOT) occurs. These are often known as tongue ties (ankyloglossia) and lip ties.

If left untreated, these ties can result in restrictions in movement that can cause significant difficulty with breastfeeding, and in some instances, other health problems like dental decay or spacing, speech difficulties, and digestive issues.

A frenectomy is a procedure that releases the frenum. Our office utilizes numbing medication and laser release of ties. We believe in treating all our patients with compassion and that starts when they are just infants! We know that infants can feel pain and we numb accordingly. We utilize the laser to efficiently release the frenums tethering the genioglossus muscle (for tongue ties) or the orbicularis oris (for lip ties) and this technique results in a diamond shape wound. The laser helps to minimize post-operative bleeding. We provide each family with detailed aftercare instructions to help ensure success, as well as encourage more visits with their lactation consultant or speech language pathologists.

“Tongue Tie” before the frenectomy procedure

“Tongue Tie” before the frenectomy procedure


Early indicators of lip or tongue ties are nursing/feeding difficulties that may include:

Symptoms for Babies

  • Ineffective or poor latch onto breast

  • Prolonged feeding times

  • Unsatisfied hunger after long feeding

  • Falls asleep easily while feeding

  • Gumming or chewing on nipple

  • Poor weight gain or failure to thrive

  • Gas, colic symptoms and/or reflux, including vomiting

  • Upper lip blister

  • Clicking sounds during feeding

Symptoms for Mothers

  • Nipple trauma:  cracked, bruised, bleeding, blistered, creased, blanched, or flattened nipples

  • Severe pain with latch during nursing

  • Continued pain during nursing

  • Incomplete breast drainage

  • Reduction of milk flow

  • Infected nipples

  • Mastitis or nipple thrush

  • Recurring plugged ducts

Please contact our office for any additional questions or recommended referrals to local lactation consultants, speech language therapists, or physical therapists.  (360) 676–7130