Lip Tie Surgery
- If baby has a lip tie, but breastfeeding is not affected (no difficulties for baby and no pain for mama), doctors say no lip tie reversal is needed.
- If a lip tie is interfering with breastfeeding, it may be wise to consider a revision, no matter what class of lip tie a baby has
What Happens During a Lip Tie Reversal (Frenectomy)?
In most cases, the oral frenectomy procedure is fairly straightforward. Here are the general steps:
- After a consultation with your doctor your baby will be brought to the surgical room and an assistant will snuggle your babies’ arms and feet to keep them secure.
- Dr. Baldy may apply a topical and local anesthetic to the area to numb any pain.
- Dr. Baldy will snip the frenum using a scalpel or surgical scissors.
- If the lip tie is severe or more complicated, it may require a couple of stitches to close the incision. These stitches will resorb in a few days.
The entire procedure will likely take 15 minutes or less.
How to Help Baby Heal Naturally Post-Procedure
Healing time is generally only a few days. The mouth heals quickly!
Some babies will seem largely unfazed by the procedure. Others may display signs of discomfort and need a little extra care. Either way, it’s a good idea to use this time to give your baby a little extra love and attention.
Here are some ideas to help manage baby’s pain after lip tie surgery:
- Breastfeed immediately before and after the lip tie reversal. This is usually all babies need for comfort and pain relief.
- With doctor’s approval, you can use Arnica Montana before and after procedure for pain relief.
- Ice the area to reduce inflammation and pain.
- Gently rub organic coconut oil on the area.
- In cases of extreme discomfort, infant Tylenol or ibuprofen may be necessary. Talk to your child’s dentist/doctor if you think baby needs additional pain relief.
The Importance of Oral Exercises Post-Procedure
The mouth heals so quickly that it may prematurely reattach at either the tongue site or the lip site, causing a new limitation in mobility and the persistence or return of symptoms
To prevent this, proper aftercare is crucial. Your doctor/dentist will have a series of lip exercises to keep the tissue from reattaching and promote blood flow/healing.
Upper Lip Stretch
- Wash hands thoroughly
- Lay baby in your lap, with his/her feet away from you.
- Apply coconut oil to your finger, then place your finger under baby’s lip. Move it as high as it will go, then gently sweep from side to side for 1 to 2 seconds.
When to Call Your Doctor
When done correctly, complications with a lip tie reversal are rare. You may notice some minor bleeding for a few days post-procedure and baby may be fussier than usual. Call your doctor if:
- Baby is extremely upset and normal pain relief methods (arnica, breastfeeding, skin-to-skin, etc.) don’t help.
- There are signs of infection, like fever, swelling around the revised area, excessive sleepiness, or restlessness.
- Excessive bleeding