A focused procedure to address the limitations caused by a restrictive lingual frenulum — a condition known as ankyloglossia — which can affect feeding, speech and overall oral function.
The procedure involves gently releasing the tight band of tissue under the tongue, allowing greater mobility and improved quality of life, especially in infants and young children. We understand that concerns around tongue tie can be stressful for families. Our approach is centred on clear information, compassionate care and effective treatment that supports every patient's health and development.
After careful assessment, I may recommend a tongue tie release — also known as a frenectomy — when the thin band of tissue under the tongue (the lingual frenulum) restricts tongue movement.
During the procedure, I gently release the tight or thickened tissue to allow the tongue to move more freely. Early intervention, particularly in infants and children, can make a significant difference to breastfeeding, speech development and overall oral function. Ultimately, tongue tie release is about improving quality of life: restoring proper tongue movement, supporting clear speech, and promoting long-term healthy oral development.
Before recommending a tongue tie release, Dr Irving conducts a thorough assessment to determine the extent of lingual frenulum restriction and its impact on speech, feeding and oral hygiene. Diagnosis may involve collaboration with lactation consultants, speech pathologists or other specialists.
A frenectomy is a minor surgical procedure in which Dr Irving carefully incises or removes the restrictive tissue, performed under general anaesthesia. It is commonly carried out in infants experiencing feeding difficulties, but can be performed at any age if the restriction causes functional problems. Dr Irving will advise on appropriate timing based on the severity of the tongue tie and the individual patient's needs.
Recovery is typically quick and straightforward. Dr Irving provides detailed aftercare instructions, which may include oral exercises or stretches to prevent reattachment and promote optimal tongue mobility. Follow-up appointments help monitor healing and address any concerns.
The primary goals are to restore normal tongue movement, enhance feeding and speech function, and promote overall oral health. Successful treatment often results in immediate and noticeable improvements in quality of life, particularly in infants and young children struggling with feeding or speech.
Please use the following information as a general guideline. If you have any concerns after surgery, please get in touch with Dr Irving's office on (02) 9890 1822. Full instructions are on the post-operative care page.
You should reach out to your surgeon, general practitioner, or the nearest accident and emergency department if you experience any of the following:
Over 25 years in private practice, and a member of the professions that set the standard for oral & maxillofacial surgery.
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