Frenotomy is a simple procedure to release a tight frenum (a band of tissue), which can restrict tongue or lip movement. It is commonly done for tongue-tie (lingual frenulum) or lip-tie (labial frenulum) in infants and young children.

Lingual Frenotomy (Tongue-Tie Release):

• Usually done in infants without anaesthetic, or with a mild topical anaesthetic

• The tongue is lifted, and the tight frenulum underneath is snipped or lasered

• Minimal bleeding, quick healing

• In older children, it may require general anaesthetic and sutures

Labial Frenotomy (Lip-Tie Release):

• Similar approach: the upper lip is lifted to expose the tight frenulum

• The frenulum is cut or lasered to allow better lip mobility

Usually quick, with minimal discomfort and both procedures are often done in-office in young infants and take only a few minutes.

 

Feeding and speech improvements are common benefits.

 

In older children, general anaesthesia and surgical follow-up may be needed.