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Frenotomy

We all have a band of tissue under our tongue that connects to the floor of our mouth called the frenulum. When that tissue is too short, too tight, or too far forward, it impacts tongue movement and can be called restrictive. Tongue tie can lead to pain with breastfeeding, feeds that take a long time due to poor milk transfer, reflux symptoms from swallowing air, or poor weight gain for baby. All these things make mealtimes stressful for mom and baby, but we can help.

About Frenotomy

Frenotomy, also known as tongue clipping, is a procedure to release tethered oral tissues that may be impacting breastfeeding. Frenotomy is considered for infants having trouble establishing breastfeeding, not gaining weight, or whose mothers are having continued pain that’s not improving after help from a lactation specialist. Good candidates are babies under two months old who have already received their vitamin K shot and been seen by lactation to rule out other reasons breastfeeding may not be going well.

The procedure itself takes just a few seconds and mom can feed baby right after. Sometimes this first feed feels better right away, but improvement can also take time and continued work with a lactation consultant.

Benefits

  • Improved latch/breastfeeding
  • Better transfer of milk
  • Reduced nipple pain for mother
  • Possible improved speech/articulation in the child’s later years

Risks

  • Possible bleeding at the incision site
  • Infection
  • Salivary gland trauma
  • Reattachment
  • Possibility of no improvement in latching/breastfeeding

Frenotomy Appointments

After skilled lactation help, if we feel a release is needed, our frenotomy-trained pediatricians will perform the procedure quickly in our office. Mom and baby will soon be on their way to more satisfying breakfasts, lunches, dinners, and snacks at all hours together!

Frenotomy Aftercare 

Your pediatrician may have specific exercises to promote healing after a frenotomy. They will discuss these with you at your visit.

We highly encourage moms to see their lactation consultant three to five days after a frenotomy to check the wound and work on positioning and latch.

Feel free to send us a message through MyHealth if you have any questions.


Our Frenotomy Providers

Thomas “TJ” Anderson II, MD
Pediatrician
Allison Baynham, MD, IBCLC
Pediatrician + Lactation Consultant
Mary Egsieker, MD
Pediatrician
Peter Gyerko, MD
Pediatrician
Clotilde Johnson-Beale, MD, MPH
Pediatrician
Alexander Lau, MD
Pediatrician
Douglas Lincoln, MD, MPH
Pediatrician
Eman Lutfi, MD
Pediatrician
Jenny Malcom, MD
Pediatrician
Rachel Manzo, MD
Pediatrician
Kathleen Mooney, MD
Pediatrician
Stephanie Sari, MD
Pediatrician
Metta Willey, MD
Pediatrician

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Office Locations

Beaverton
15455 NW Greenbrier Parkway
Suite 111
Beaverton, OR 97006

Phone (503) 531-3434
Fax (503) 645-4544

Bridgeport
7213 SW Hazel Fern Road
Tigard, OR 97224

Phone (503) 214-2064
Fax (503) 598-3600

Gresham
25050 SE Stark Street
Suite 300
Gresham, OR 97030

Phone (503) 667-8878
Fax (503) 667-0310

Johnson Creek
9300 SE 91st Avenue
Suite 200
Happy Valley, OR 97086

Phone (503) 261-1171
Fax (503) 253-5989

Happy Valley Sunnyside
16144 SE Happy Valley Town Center Drive
Suite 210
Happy Valley, OR 97086

Phone (503) 486-7040
Fax (503) 658-3377

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1130 NW 22nd Avenue
Suite 320
Portland, OR 97210

Phone (503) 295-2546
Fax (503) 790-1248

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