[vc_row el_class=”prepostcare” css=”.vc_custom_1598601149978{margin-top: -70px !important;margin-right: -85px !important;margin-left: -85px !important;background-color: #e8b2d0 !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}”][vc_column css=”.vc_custom_1598601617159{padding-top: 30px !important;padding-right: 150px !important;padding-left: 150px !important;}” col_shadow=”box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C.35)” col_shadow_hover=”box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C.35)”][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]What to expect during the procedure:[/dfd_heading][vc_column_text]It’s not necessary to do anything to prepare for the procedure. Consult with your doctor if they recommend giving pain management before or after the procedure. They will use numbing medication during the procedure, and the use of a laser means that there is actually very little discomfort anyway. The patient does not have to be placed under anesthesia but there are some cases where it is necessary. For non-laser procedures, they use sterile scissors to snip the frenulum free. If any bleeding occurs, it’s likely to be only a drop or two of blood. The surgery will only take a few minutes. Some offices give you the option of coming in during the procedure; other doctors prefer the parent in the waiting room. Babies will generally cry as soon as they are restrained and crying can continue for varying amounts of time after the procedure is complete. Some babies are fussier than others and may refuse the breast for a few hours after the release but some latch on and nurse better than before. After the procedure, a baby can breast or bottle feed immediately. The office staff will review the stretching exercises before you leave the office. They will also tell you what foods to avoid while healing if you or your child is eating solids.
3 Second Tongue-Tie Release Using a CO2 Laser by Richard Baxter, DMD, MS – Video
Upper Lip Tie Release Treatment Video
Posterior Tongue Tie Procedure Video Using Sutures
It’s important to note that “suture” is the name for the actual medical device used to repair the wound. The stitching is the technique used by your doctor to close the wound.
Maxillary labial and buccal laser frenectomies – Video – Including Post-Op Visits
What to expect after a tongue/lip tie release
After release …Realistic Expectations
Frenectomy Exercises with Melissa Cole of Luna Lactation
Infant Frenectomy – Aftercare Video – Part 1 – Caring for the Baby on the Day of the Procedure
Infant Frenectomy – Aftercare Video – Part 2 – Massage Exercises – Next Day Onwards
Infant Frenectomy – Aftercare Video – Part 3 – Suck Retraining[/vc_column_text][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”30″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″ screen_normal_spacer_size=”30″ screen_tablet_spacer_size=”30″ screen_mobile_spacer_size=”30″][/vc_column][/vc_row][vc_row][vc_column][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”50″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″ screen_normal_spacer_size=”50″ screen_tablet_spacer_size=”50″ screen_mobile_spacer_size=”30″][/vc_column][/vc_row][vc_row dfd_row_responsive_enable=”dfd-row-responsive-enable” el_class=”healingreattach” css=”.vc_custom_1598952445005{margin-right: -85px !important;margin-left: -85px !important;}”][vc_column css=”.vc_custom_1598601541711{padding-right: 150px !important;padding-left: 150px !important;}” col_shadow=”box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C.35)” col_shadow_hover=”box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C.35)”][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”30″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″ screen_normal_spacer_size=”30″ screen_tablet_spacer_size=”30″ screen_mobile_spacer_size=”30″][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]Healing Reattachement Signs and What to doHealing Reattachement Signs and What to do[/dfd_heading][vc_column_text]Tongue Tie Reattachment – What Are The Signs And What To Do?
The Importance of Active Wound Management Following Frenotomy
Post-Revision Picture Sequence of Healing Progression for Lip and Tongue Tie Procedures
Tongue-tie Release with Post-op Healing Progression Photos
Maxillary labial and buccal laser frenectomies – Video – Including Post-Op Visits[/vc_column_text][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”50″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″ screen_normal_spacer_size=”50″ screen_tablet_spacer_size=”40″ screen_mobile_spacer_size=”30″][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]Appropriate Healing Tongue Tie Progression Photos:[/dfd_heading][vc_row_inner][vc_column_inner width=”1/2″][vc_single_image image=”1565″ img_size=”large”][/vc_column_inner][vc_column_inner width=”1/2″][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]What is the tongue-tie recovery and healing process?[/dfd_heading][vc_column_text]Everyone’s a little bit different but the goal is to heal correctly. Infection after tongue/lip or buccal (cheek) tie surgery is rare. Bleeding is usually light after surgery and usually resolves within a couple of minutes. Practitioners may request that babies attend for their appointment hungry as feeding the baby at the breast or on a bottle immediately after the procedure is by far the most comfortable and effective way of stopping the bleeding.[/vc_column_text][/vc_column_inner][/vc_row_inner][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”10″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″][vc_column_text]The action of sucking naturally puts pressure on the wound. As the wound heals it turns white (sometimes with a yellow/slightly greenish tinge) to form a patch resembling a mouth ulcer and this is normal. In a jaundiced baby, the patch may turn orange due to the raised bilirubin level. The white patch usually develops within 48 hours and disappears within a week to 14 days.
As it heals it can appear to be lifting at the edges and in some babies, the edge can look dark red/orange. This is all part of normal healing. Some providers place sutures to prevent reattachment of the tissue, and others leave the wound open. It will depend upon the method used by the doctor. Recovery and healing can take 2-4 weeks.
If someone has an open wound, it will look something like a diamond at the beginning. The goal is to facilitate healing by secondary intention, causing the wound to heal slowly, from the outside edges inward, instead of top and bottom healing together. The top and bottom triangles should not attach to each other. When there is correct healing, the sides of the diamond heal together, creating a new frenum. The goal is that the new frenum is long, lean, and limber allowing for adequate mobility.[/vc_column_text][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”30″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″ screen_normal_spacer_size=”10″ screen_tablet_spacer_size=”10″][/vc_column][/vc_row][vc_row][vc_column][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”50″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″ screen_normal_spacer_size=”50″ screen_tablet_spacer_size=”50″ screen_mobile_spacer_size=”30″][/vc_column][/vc_row][vc_row dfd_row_responsive_enable=”dfd-row-responsive-enable” el_class=”latching” css=”.vc_custom_1598955407454{margin-right: -85px !important;margin-left: -85px !important;background-color: #e8b2d0 !important;background-position: center !important;background-repeat: no-repeat !important;background-size: cover !important;}”][vc_column css=”.vc_custom_1598601749907{padding-right: 150px !important;padding-left: 150px !important;}” col_shadow=”box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C.35)” col_shadow_hover=”box_shadow_enable:disable|shadow_horizontal:0|shadow_vertical:15|shadow_blur:50|shadow_spread:0|box_shadow_color:rgba(0%2C0%2C0%2C.35)”][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”30″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″ screen_normal_spacer_size=”30″ screen_tablet_spacer_size=”30″ screen_mobile_spacer_size=”30″][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]Help with latching/breastfeeding:[/dfd_heading][vc_column_text]8 ways your nipples can change when you breastfeed
Latching on the Breast Correctly
Breastfeeding Problems and How to Fix Them
Natural Breastfeeding – Love to Love Breastfeeding
Breastfeeding Latch: How to Get a Proper Breastfeeding Latch
How Can I Fix My Baby’s Latch?
Helpful Tips to Make for an Easier Latch.
How can Chiropractic, Acupuncture, Cranio-sacral Help with Breastfeeding?[/vc_column_text][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”30″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″ screen_normal_spacer_size=”30″][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]Suck Training[/dfd_heading][vc_column_text]Infant Frenectomy – Aftercare Video – Part 3 – Suck Retraining
Infant Suck Training Exercises
[/vc_column_text][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”10″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]Nipple Shields/Nipple
Blanching/Vasospasm:[/dfd_heading][vc_column_text]Nipple Shields When And How To Use Them
Latching Video: Using a Nipple Shield
Tips To Help With Nipple Blanching And Vasospasm • KellyMom.com[/vc_column_text][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”20″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″ screen_normal_spacer_size=”10″ screen_tablet_spacer_size=”10″][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]Option To Aid in Sleeping:[/dfd_heading][vc_column_text]Dream Feed: The What, How & Everything Else You Need to Know[/vc_column_text][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”20″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″ screen_normal_spacer_size=”10″ screen_tablet_spacer_size=”10″ screen_mobile_spacer_size=”10″][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]Mastitis:[/dfd_heading][vc_column_text]How Tongue Tie in Babies Can Affect Breastfeeding Including Mastitis
Mastitis While Breastfeeding
Mastitis – Diagnosis and treatment[/vc_column_text][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”20″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″ screen_normal_spacer_size=”10″ screen_tablet_spacer_size=”10″ screen_mobile_spacer_size=”10″][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]What to do if nipple confusion occurs:[/dfd_heading][vc_column_text]Breastfeeding and Nipple Confusion.
You may try offering the breast when the baby wakes up, pump and give the bottle right before nap time
You can try to pump or hand express a little bit then offer the breast.
You can also pump to prevent a reduction in supply
[/vc_column_text][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”30″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″ screen_normal_spacer_size=”20″ screen_tablet_spacer_size=”10″ screen_mobile_spacer_size=”10″][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]When difficulties with breastfeeding arise:[/dfd_heading][vc_column_text]Tied babies are often born with enlarged turbinates, which makes it more difficult to nasal breathe, however, nursing helps reduce turbinates and establish nasal breathing. Close baby’s lips anytime you see them open. Hold them together for several seconds
Improving Latch By Improving Positioning: Side-Lying
This position is also ideal for moms who’ve just had a C-section. It helps to make breastfeeding a little more comfortable since your newborn isn’t putting pressure on your stomach and your incision site.
THE BEST POSITIONS FOR POSTERIOR TONGUE TIES ARE: the football hold (clutch position), the laidback breastfeeding position (straddle hold), and the cross-cradle hold
Breastfeeding in Football Hold
The football hold is also ideal for moms who’ve just had a C-section. It helps to make breastfeeding a little more comfortable since your newborn isn’t putting pressure on your stomach and your incision site. This is also for mothers with large breasts or small babies. Mothers with twins who want to feed the babies at the same time may also choose this position.
Laid Back Breastfeeding Video
Straddle Position Feeding Video
Upright or semi-upright positions, like the laid-back position, can be helpful because milk isn’t flowing downward with gravity into the baby’s mouth; they can control the milk flow better in this position, which helps avoid gas and reflux. It also helps your baby to latch more effectively as they’re able to use their natural reflexes, so you’re less likely to get sore nipples.
Cross Cradle Hold Breastfeeding Video
The cross-cradle position allows you to have more control over how your baby latches on (takes the breast into his or her mouth). Many moms find that they’re able to get their babies latched on more deeply with this hold.
Other Alternate Methods of Feeding:
Feeding a baby with a cup of milk | Breastfeeding
Finger Feeding to Supplement a Breastfeeding Infant Hazelbaker Finger Feeder
How to use a Supplemental Nursing System (SNS) Breastfeeding
Learn 4 ways to feed a newborn baby apart from a baby bottle to preserve breastfeeding. 1) Syringe 2) Spoon 3) Cup 4) Finger feeding with SNS[/vc_column_text][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”30″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″ screen_normal_spacer_size=”20″ screen_tablet_spacer_size=”10″ screen_mobile_spacer_size=”10″][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]Additional Tips:[/dfd_heading][vc_column_text]Sit baby up to breastfeed if you have a letdown. Putting baby flat on the back makes it difficult to manage the overactive letdown.
Express before each feed to reduce the flow
Let baby latch after you let down
Give frequent breaks every few minutes to burp while feeding
Try different size nipple flanges to slow the flow
Try boppy or blankets to prop baby up while nursing
Some people may find it helpful to use products to aid in milk production. Feel free to research breast milk production products.[/vc_column_text][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”30″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]BOTTLE FEEDING ISSUES[/dfd_heading][vc_column_text]How to tell if tongue-tie is affecting bottle-feeding
TIPS WHEN DIFFICULTIES WITH THE FLOW OF THE BOTTLE OCCUR:
Try feeding the baby a bottle in a side-lying position to prevent choking. Beckman Bottle-Feeding in Sidelying
Paced Bottle Feeding
Paced Bottle Feeding is a method of bottle feeding that allows the infant to be more in control of the feeding pace. This feeding method slows down the flow of milk into the nipple and the mouth, allowing the baby to eat more slowly, and take breaks. Paced feeding reduces the risk of overfeeding that may result in discomfort to the baby. This feeding method is recommended for any baby that receives bottles, whether fully bottle-fed or fed from the breast and a bottle
How to bottle feed the breastfed baby • KellyMom.com
It may be beneficial to try preemie nipples
It may not be beneficial to constantly switch nipple types because it takes a few days for a baby to adjust to a new nipple. Switching may add to the uncertainty of the bottle[/vc_column_text][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”30″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″ screen_normal_spacer_size=”30″ screen_tablet_spacer_size=”30″ screen_mobile_spacer_size=”20″][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]Use cylindrical-shaped nipples for bottles as well[/dfd_heading][vc_column_text]Tommee Tippee: Simple & Intuitive Baby Products
Dr. Brown Selecting Your Bottle Nipple Level
BABY BOTTLE.EVOLVED – Comotomo
Lansinoh Breastfeeding Bottles with NaturalWave Nipple
It may be beneficial to try special feeder nipples.:
Calma With Calma, the milk will only flow if the baby works and creates a vacuum to remove the milk. This enables the feeding behavior learned at the breast to be used with Calma.[/vc_column_text][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”30″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]Pacifiers:[/dfd_heading][vc_column_text]Pacifiers in general are not ideal for mouth development. But as parents, there are times it is necessary
Why-the-shape-of-your-baby’s-pacifier-matters
Tommee Tippee: Simple & Intuitive Baby Products
Also, you can try a trick to make the pacifier less appealing and helpful trick to wean off is
Make a hole in the pacifier with a needle, one per week. It will lose its suction after about 203 holes and will eventually come apart making it less reinforcing.
You can substitute with another oral stimulation like an electric toothbrush or chewy toy. An electric toothbrush can be used for a few minutes 3 times a day, especially before naps.
To eliminate the habit of sucking on fingers at night you may want to put a sock on the baby’s arm and pin it to the pajama top[/vc_column_text][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”20″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″][dfd_heading style=”style_01″ title_font_options=”tag:h5″ subtitle_font_options=”tag:h3″]For Feeding Aversions:[/dfd_heading][vc_column_text]Seek an International Board Certified Lactation Consultant (IBCLC) and/or a provider certified in myofunctional therapy
(link here for IBCLC providers on my site)
Baby Care Advice for consultation and education on the topic of feeding aversions with Rowena Bennett
Baby won’t eat! – Could it be a feeding aversion?
Tips for Dealing with Oral Aversion, From a Mama, two SLPs, an OT, and BCBA – Oh My!
How to tell if tongue-tie is affecting bottle-feeding –
Pacifiers in general are not ideal for mouth development. But as parents, there are times it is necessary and may be useful for oral aversion
Why-the-shape-of-your-baby’s-pacifier-matters[/vc_column_text][dfd_spacer screen_wide_resolution=”1280″ screen_wide_spacer_size=”30″ screen_normal_resolution=”1024″ screen_tablet_resolution=”800″ screen_mobile_resolution=”480″][/vc_column][/vc_row]