41-B. What is a lip tie procedure for infants?
Lip Tie for Infants

Signs indicating a lip tie in infants primarily involve feeding difficulties, physical restrictions, and related growth or comfort issues.
A lip tie procedure for infants, known as a frenectomy or frenotomy, releases the restrictive labial frenulum connecting the upper lip to the gum using scissors or laser, improving lip mobility for better breastfeeding. This minor intervention is quick, typically painless without anesthesia, and allows rapid recovery with immediate nursing possible.
Symptoms Indicating a Lip Tie
Common signs in infants include:
-Difficulty latching or poor latch during breastfeeding
-Clicking sounds, fussiness, or frustration while feeding
-Poor weight gain, long feeding sessions, milk leakage, reflux, or gagging
-For mothers: nipple pain, cracking, bleeding, engorgement, or mastitis
Feeding-Related Symptoms
Difficulty latching or staying latched during breastfeeding or bottle feeding, often leading to shallow latch and poor milk transfer.
Clicking, smacking, or noisy sounds while feeding due to poor seal and air swallowing.
Prolonged feeding sessions, frequent breaks to breathe, milk leaking from mouth sides, or fussiness/frustration during feeds.
Fatigue or falling asleep quickly during feeding from inefficient sucking and breathing issues.
Physical Signs
Visible tight band of tissue connecting upper lip to gums, with difficulty fully lifting or flanging the upper lip.
Blistering or calluses on the upper lip from friction.
Not all lip ties require treatment; mild cases may improve with watchful waiting, lactation support, or positioning adjustments.
Impacts on Growth and Comfort
Poor weight gain, gassiness, colic, reflux-like symptoms, or feeding aversion from swallowing air.
In mothers: nipple pain, misshapen nipples, low supply, clogged ducts, or mastitis.
Procedure Details
-Performed by pediatricians, dentists, or ENTs; laser or scissors sever the tight tissue
-Minimal discomfort, no sutures needed, and low reattachment risk with post-care stretches
-Often paired with tongue tie treatment if both present
-Potential Benefits and Complications if Untreated
-Early release can enhance feeding, prevent dental gaps or decay, and support speech development
-Untreated severe cases may lead to ongoing feeding issues, weight concerns, or later oral problems
Signs in Older Children (if untreated)
Gaps between upper front teeth, trouble cleaning teeth, food trapping, speech delays, or dental decay.
Consult a pediatrician, dentist, or lactation specialist experienced in ties for evaluation, as not all lip ties cause issues. Early detection aids breastfeeding and prevents complications.
Consult a pediatrician, lactation consultant, or Cedar View Pediatric Dentistry in Cedar City, Utah today for evaluation. Post-procedure, expect minimal fussiness with quick healing; gentle exercises aid recovery.

