Tongue tie division - aftercare plan

As yet, there is no nationwide agreed protocol for post procedure wound care. However, many tongue tie clinics, individual practitioners and studies from the United States advocate post procedure wound care or ‘tongue tie stretches’ in order to help reduce the reoccurrence of tongue restriction, post procedure.

Whilst the wound is still healing, frequent and regular feeding every 2-3 hours is recommended around the clock. This is likely to mean waking the baby to ensure that they feed. This is also important to support a full milk supply. The day after the division the wound site may start to look a bit like an ulcer, white or yellowish in colour. On the second day, I recommend that you start a few post procedure exercises which will assist the wound to heal without adhesion.

How is it done?
As shown in the video above, start by rubbing a clean finger around the baby’s gums enticing their tongue to chase your finger around the mouth from side to side. This can be done as a gentle and interactive game. Babies enjoy having their gums and mouth gently stimulated.

Before feeding, massage the wound site directly by sweeping the finger under the tongue.  Then using two fingers, lift the tongue a few times to gently open the wound site and allow it to heal without sticking together.  It is a good idea to do this each day until the yellow/white patch disappears, this can take approximately 7 – 10 days.

Tongue Tie: Post division

After approximately one week
Once the wound is pink again, the massage required is a stretching motion from the floor of the mouth up and under the tongue in an up and down vertical stretching and softening motion. This stretching is to help any scar tissue to remain supple, therefore minimising the risk of any scar tissue contracting and causing a reoccurrence of the tongue tie.

Once the wound has healed this will not be uncomfortable for the baby and can be done as part of interacting and playing with your baby.

Tongue tie division alone should not be seen as a quick fix, but is part of the bigger picture in improving sub-optimal feeding patterns.  If you are breastfeeding it is a good idea to be seen again a few days after the division by myself or another qualified IBCLC

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--- We came to see Dee when our baby was a few days old and had a tongue tie. We were told we needed to wait 2 weeks for an appointment at the hospital but Dee was able to see us the same day we contacted her, making time, after work and putting her daughter to bed, to see us. The tongue tie was snipped very quickly and healed really well and the feeding improved almost instantly. Really great service and would highly recommend

- Julie

--- I came across Dee's details after frantically searching the Internet for any information or help regarding a tongue tie division. It was noticed at our 6 week check up that my son had a tongue tie - which was resulting in his frequent feedings and difficulties latching onto his bottle. We were referred via NHS - however after waiting 2 stressful weeks we still had no appointment through and no one answered our phone calls or emails when we tried to get in contact. I contacted Dee and within the hour I had a response which was amazing!! We arranged to meet and had the tongue tie divided that same evening. Dee was amazing both in communication beforehand and in person. We were put at ease straightaway. The procedure was simple and very quick (over within a few seconds). We had a fresh bottle ready for after - in which my son took to immediately (latching onto his bottle perfectly & drinking the most he ever has in one go with ease). We are extremely happy and thankful for all Dee's help and expert advice. I would recommend to anyone. If it wasn't for Dee my son would still be struggling with his feeds and getting very little sleep.

- Charmaine S