Tongue-tie releases are often presented as a quick fix for feeding problems — but the truth is, the release itself is only one part of a much larger process. What determines long-term success is what happens before and after the procedure.
One of the most common issues is that releases are sometimes done when they may not actually be needed. Feeding difficulties do not always stem from tethered oral tissues. Body tension, oral-motor dysfunction, compensatory movement patterns, or inefficient feeding mechanics can create symptoms that look like tongue ties. Without a comprehensive feeding evaluation, the true cause may be missed.
Preparation matters. Babies benefit from targeted oral-motor therapy and often bodywork prior to a release. These therapies help regulate the nervous system, improve function, and prepare the muscles to use increased range of motion. Without this preparation, families are often disappointed when feeding doesn’t immediately improve.
Provider choice is also critical. A full, precise release performed by someone specifically trained in tethered oral tissues — ideally using laser — is considered best practice. Having access to a laser does not automatically mean expertise. Scissors releases frequently result in incomplete correction and ongoing dysfunction.
Perhaps the most overlooked piece of all is follow-up care. A release does not retrain feeding patterns on its own. Ongoing support from a lactation consultant trained in tethered oral tissues, collaboration with the release provider, and appropriate bodywork are what lead to optimal healing, improved feeding, and long-term oral function.
There is no single set of exercises that works for every baby. Therapy must be individualized based on the baby’s body, feeding mechanics, and symptoms.
Tongue ties are complex — and families deserve informed, collaborative care rather than one-size-fits-all solutions. We are here to help you and your baby through this!