Frenectomy Post-Op Instructions for Infants

Pain Management

  1. It is normal for swelling to occur at the lasered areas. This generally subsides after 24-48 hours.
  2. Some babies can be fussy for several days following the procedure. This is normal and will subside. For discomfort:
  • Try freezing a thin layer of breast milk, break off a small piece, and place it on the wound.
  • You may also administer Infant’s TYLENOL every 4 hours if needed.
    • 6-11 lbs – 1.25 ml (1/4 tsp)
    • 12-17 lbs – 2.5 ml (1/2 tsp)
  • We also recommend giving baby a lot of skin-to-skin contact

Wound Care and Stretches

  1. Stretching Information: You will perform these stretches before or after diaper changes, 5 times a day, holding each stretch for 5 seconds. Because sleep is so important for both mommy and baby you may skip stretches once your little one is down for the night and can resume the next morning.

Very Important: Make sure your hands are clean before performing stretches.

  1. To make your little one more comfortable and less likely to wiggle around during stretches we recommend swaddling before you begin.
  2. With baby swaddled, lay them down with the top of their head toward the person performing the stretches. This will help to ensure proper direction and force.
  3. Lip Stretch: Stabilize baby’s head with the palms of your hands. Using your index fingers start at the cheeks and move your fingers around toward the upper lip. Using thumbs and index fingers lightly pinch the upper lip and pull up toward the nose. Make sure as you lift up you are opening the entire diamond (lasered area). Hold for 5 seconds.
  4. Tongue Stretch: Again, stabilize baby’s head with the palms of your hands. Use middle fingers to push down on their chin for counter pressure. Work your index fingers under their tongue, once under the tongue make sure your index fingers are touching, and push down where the frenum was. Apply counter pressure by pushing down on their chin. Once you see the diamond (the lasered area) open up, hold for 5 seconds.
  1. During the stretches, you may see a little bleeding. This is normal and usually stops right away.
  2. Tip: Allow baby to suck on your finger (nail down toward tongue) between stretches for a calming effect.

Please visit the following link for a video tutorial of the stretches described above:

https://youtu.be/TO6sOuDslsY

Nursing/Feeding

  1. Continue working with your lactation consultant. There are generally no feeding restrictions after a frenectomy; you are free to feed your baby as often as needed.  Some babies will have a corrected latch immediately following the frenectomy and others may need more time to learn how to nurse effectively. It’s important to remember your baby’s tongue and/or lip has a newfound range of motion that they’ll be getting used to, so be patient and know this is normal. You are both learning a new skill that may take some practice to master.
  2. When nursing, get as much of the nipple/areola/breast in the baby’s mouth as p This will help the baby use suction by creating a vacuum rather than pinching.

Resources

  1. After care information: http://www.kiddsteeth.com/breastfeeding.php click on “Care after lingual and maxillary ties”.
  2. Please review this blog for more information and videos http://drghaheri.squarespace.com/aftercare.
  3. Some of our patients have found support from the Texas Tongue Tie Babies and Children Support Group on Facebook.
  4. We also recommend seeing a practitioner trained in infant or pediatric chiropractic bodywork (craniosacral therapy) to help relieve tension in the mouth and throughout the body.
  5. Please call 214-696-3082 at any time if you have questions or concerns.

9. Review this video for stretching examples.

10. Some of our patients have found support from the Texas Tongue Tie Babies and Children Support Group on Facebook.