A frenotomy is a procedure that cuts the lingual frenulum. Pediatricians and dentists recommend this treatment sometimes when a baby is tongue-tied. When a child is tongue-tied, they have a short or tight frenulum, which is the tiny piece of skin that connects the bottom jaw to the lower lip.

When a baby has a frenulum that is tight or short, he or she won’t be able to nurse or breastfeed properly.

During a frenotomy, the tongue is held up towards the roof of the mouth. This action makes the frenulum taught and thin. Dr. Cohen then makes a cut with a specialized laser that releases the tongue and makes it easier for the baby to breastfeed or nurse. The tiny cut only takes a second or two, and usually takes one fast motion on the doctor’s part. Little to no bleeding occurs because blood vessels are cauterized during the process of cutting the skin. The cut may be performed using a unique frenotomy kit, or it can be done using sterile scissors from a suture removal kit.

The baby’s tongue moves much more freely immediately after the procedure is completed. Breastfeeding or bottle feeding should be much easier for the baby when the tongue is no longer tied.

Frequently Asked Questions About Frenotomy

At what age can tongue tie be treated?

Frenotomy can be performed as early as the first few weeks of life, but we also treat older children and adults when symptoms persist.

Is the procedure painful?

In infants, discomfort is brief and minimal. Older children and adults are treated with local anesthesia or sedation as needed.

Will my child need speech therapy after the release?

In some cases, yes. We often collaborate with speech and feeding specialists to support full functional gains.

How long does it take to heal?

Most healing occurs within 1–2 weeks. We monitor progress and guide you through gentle stretching exercises to prevent reattachment.

Is tongue tie covered by insurance?

Coverage depends on your plan. We’ll review your benefits and explain your insurance and financing options.

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Schedule a Frenotomy Consultation in Brooklyn

If you or your child is experiencing symptoms of a tongue tie, early treatment can make a lasting difference. Visit Shawn Cohen D.D.S. P.L.L.C. on Avenue U in Brooklyn for a personalized evaluation and gentle care designed to restore comfort and function at every age.