Begin keeping the surgical sites open by completing 1 set of exercises tonight.
Gently finger-massage the surgical sites as instructed a minimum of 5 x daily.
Q. How often do we need to fully open and separate the surgical sites under the tongue and lip?
A. At least 5 times a day for 3 weeks and then decreasing for 1 more week. Opening of the surgical areas can be completed before you breast feed or after nursing on one breast and before you nurse on the other breast.
Q. How hard do we push?
A. Gentle pressure is enough to make sure the area remains open and the surgical areas do not heal together. If you see a red line in the healing area you are not opening the surgical areas adequately as a red line means the area is healing together. Just pushing on the lateral area of the tongue is not adequate. You must open the surgical areas.
Q. How long do I push or pull the surgical sites each time we open the area?
A. Long enough to make sure the entire diamond is opened up, usually about 5-10 seconds.
Q. What if I push or pull too hard? Will this cause any damage?
A. You cannot make the surgical sites bigger or cause any damage when you stretch either the tongue or lip revisions and it is essential to a successful outcome of the procedures but it may cause more discomfort for your child.
Q. Will there be any swelling or bleeding?
A. It is not uncommon for the upper lip to swell slightly after the lip tie is revised. If this occurs you can place a cold compress on the upper lip but don’t apply ice directly to skin the surface. The white area which develops within the surgical site is normal and NOT a sign of infection. Lasers are bactericidal. A little bleeding when doing the stretching exercises is not a cause for concern.
Q. What other reactions are to be expected post surgical treatment?
A. Your infant may have increased drooling due to the increased tongue mobility which will stimulate salivary flow and may be fussy and out of sorts for a day or so.
Q. When should we see improvements in breast feeding?
A. Many infants will show an improved latch on the breast immediately after surgery however in some instances this may take as long as a few weeks. Some infants may take a few days to develop a good latch as they begin to gain strength and some may need time to relearn their nursing habits. After revisions of the lip tie, you can also assist in improving the latch by pulling the upper lip outward when your infant first starts to nurse.
Your infant has a post op visit scheduled to ensure the sites are healing properly. Should you have any questions or concerns before then please do not hesitate to call our office at 519 679-9860