Frequently Asked Questions
What age range does Lil’ Ties and Smiles treat?
We primarily care for infants, and we evaluate children over 18 months on a case-by-case basis. Every visit starts with an in-depth conversation and careful look at how your child's tongue and lip function.
Do I need a referral for a tongue or lip tie evaluation?
A referral isn't required, but it's strongly encouraged. We believe the best results come from a team approach, with providers like lactation consultants, feeding therapists, and pediatricians supporting your child before and/or after treatment. If you already have a provider, we'll coordinate with them and send a visit summary after your appointment. If not, no worries. We'll talk through your child's needs and may recommend other specialists to work with before a release, so your child gets the best care and outcome.
Does insurance cover frenectomy treatment?
Lil' Ties and Smiles is a self-pay practice and is not in network with any insurance plans. We can provide a superbill you can submit to your insurance for possible reimbursement, and HSA/FSA cards are accepted. Coverage varies by plan, so we recommend checking with your insurer before your visit.
How long is the recovery after a frenectomy?
Most babies recover quickly. Some fussiness or mild discomfort is common in the first few days, and healing generally takes about two weeks. You'll go home with clear home-care guidance, and follow-up visits at 1 and 2 weeks are included.
How soon can we be seen?
We can often see new families quickly, sometimes the same day. You may call our office or request an evaluation and our team will reach out to schedule.
Does every tongue or lip tie need treatment?
No. What matters is how the tongue and lip function, not just how they look. We will only recommend a release if it's likely to help.
How do I know if my baby has a tongue or lip tie?
Your baby may have a tongue or lip tie if they struggle to latch, have difficulty feeding, or seem uncomfortable during breastfeeding or bottle-feeding. A professional evaluation can help determine whether restricted tongue or lip movement is affecting your baby's oral function.
What are common signs of tongue and lip ties?
Common signs include difficulty latching, clicking sounds during feeding, prolonged feeding sessions, poor milk transfer, and slow weight gain. Breastfeeding parents may also experience nipple pain. These symptoms can have several causes, so a professional evaluation is important.
Does every tongue or lip tie require treatment?
No, not every tongue or lip tie requires treatment. Some children have a visible frenulum without experiencing feeding or oral function problems. Treatment is generally considered when restricted movement causes significant difficulties that do not improve with appropriate support.
What happens during a laser frenectomy?
We use the LightScalpel ® CO₂ laser to gently release the tight tissue under the tongue or upper lip. The procedure is quick, and most babies can feed for comfort right afterward. You'll go home with clear aftercare guidance, and follow-up visits at 1 and 2 weeks are included
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Have questions about tongue ties, lip ties, or your child's care? Our team is here to provide guidance and help you understand the next steps.