Treatment is completed with the newborn swaddled. This is to prevent any uncontrolled movements during the procedure and keep your child safe and comfortable. Your child will be provided with eye protection and topical anesthesia maybe utilized. Post-operative discomfort is minimal.
Most infants do not require any pain medications following a laser frenectomy. However every child is different and responds to this intervention differently. You may notice more irritability or fatigue in your infant, depending on the severity of treated ties or just some difference in sensitivity. If you feel that pain medication is appropriate, Tylenol should be sufficient. A single dose can be given every 6-8 hours. After the first 36-48 hours we would not expect pain medication to be necessary.
Often breastfeeding alone, more frequently than usual, will suffice. If breastfeeding is not possible for you, your IBCLC can instruct you on how to hand express or pump milk to feed your baby. Use of nipple shields may help if breastfeeding is still painful, but finger feeding will eliminate all risk of nipple confusion. The priority is to ensure your baby is hydrated and fed by ensuring correct breast drainage will prevent any risk of engorgement as well.
You may notice that the upper lip is now freed into a fuller position. This is due to the tension release of the previously underlying frenum. Swelling, if any will be slight and will be under the nose, where it meets the lip. This newfound lip and tongue mobility maybe confusing to your baby as he/she adjusts to the improved muscle freedom.
The day after treatment: You will notice a white diamond or triangle shape beginning to form in the area under the upper lip or a while line under the tongue (if the tongue tie has been released). The white color of this normal healing process is called an eschar is expected to last for 7-14 days. Soft tissue in the mouth does not form a dry scab.