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We are the only Board Certified physicians in San Diego County offering the Biolase X laser for Frenulectomy/Frenotomy procedures.


A Frenulectomy or frenomtomy is a procedure used to correct the tightness of the tongue or upper lip that restricts movement and can result in difficulty breastfeeding and in some instances, speech difficulties and digestive issues.


If you are a patient in our practice, we offer insurance benefits coverage investigation for most PPO, Children’s Physician Medical Group HMO, and Tricare insurance.  For others, we have a reasonable cash pay rate. We offer discounted rates for our active duty military dependents.

Day of Procedure

The best preparation for the procedure is watching the post- tongue tie care.  You may also want to have acetaminophen(tylenol) on hand so you can focus on your infant after the procedure.  Most infants are able to feed immediately after the procedure, although they maybe more fussy for the first 12 hours.

Acetaminophen (Tylenol): The dosage is based on your child’s weight. If you have any additional questions or your child experiences a fever over 100.4 degrees and they are younger than 2 months old, call the office immediately.

Post Procedure Care

Post-tongue tie wound care is incredibly important for guiding the healing process and in preventing the wound from reattaching. For the first few days, you may notice that your child is fussier than usual, this is normal and can be treated with acetaminophen. As the wound begins to heal, the fussiness will decrease drastically. Although some babies may be reluctant to breastfeed for the first few hours post-procedure, this is a temporary and your baby will begin breast feeding again in a few hours. Your baby may need extra cuddling the first few days after the procedure and our doctors can provide recommendations for additional pain relief.

After the tongue tie, you will see a diamond under the tongue or upper lip. The goal of the post-procedure care is to allow 3-4 weeks for the wound to heal and release the tongue tie. During this time, you should see the diamond-shaped wound getting smaller and smaller.

Post-Procedure Stretches

These tongue and upper lip tie stretches should be completed 4 times per day for 3-4 weeks following the procedure. The stretches are explained in the following video ( Many parents find it helpful to do these stretches before feeding and after a diaper change. You can also use coconut oil on your finger when doing these stretches which may help reduce inflammation. If scar tissue begins to form around 2-3 weeks after the procedure, rubbing a few drops of vitamin E oil on the wound will help soften the scar tissue.

Tongue Exercises

For 1-2 weeks following the procedure, tongue exercises are important to ensure the strengthening and coordination of the tongue’s movement. These should be done 3 times a day and viewed as a playful activity during a time when your baby is calm and alert. The following video demonstrates these tongue exercises.