Similar to tongue-ties, lip-ties are a common concern addressed in our clinic as the medical community grows increasingly aware of the problems associated with a tied maxillary frenum, commonly known as lip-tied.

A lip-tie, like a tongue-tie, is a restrictive piece of tissue (frenulum) between the inside upper lip and gum line. A simple release of this band of tissue can help the movement of the lip and subsequently improve latching. Since lip-ties and tongue-ties can often be congruent, there is evidence to support that these conditions are genetic.

Common characteristics of a lip-tie include:

• Difficulty latching
• Insufficient weight gain
• Trouble with breathing during feeding
• The presence of clicking sounds while nursing
• Fatigue while nursing
• Colic

While the impact of a tight frenulum can be significant, the treatment options are fairly simple. As soon as lip-tie symptoms are noticed, even as early as birth, a simple surgical procedure can be performed to correct it. This procedure involves cutting across part of the frenulum to free up mobility of the mouth. This is known as a frenectomy, and uses local anesthesia but not general anesthesia.

We can discuss with you the best time to plan for your child’s procedure. Wellspring Pediatric Plastics is the preferred provider for NICU’s and Labor & Delivery centers across Central Texas, and we are happy to share our experience with you in order to help you determine the best plan for your child.

For more information on lip-tied issues, contact our office at or 512-600-2888


American Academy of Otolaryngology–Head and Neck Surgery