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Tonque tie
Tongue-Tie Clinic, Blue Mountains
A dedicated Tongue-Tie & Infant Feeding Clinic in the Blue Mountains and Greater Sydney.
Why choose KidMed? For tongue-tie concerns?
Whole-feed perspective. At KidMed’s Tongue-Tie & Infant Feeding Clinic every consultation begins with a comprehensive breast- or bottle-feed assessment, covering maternal factors (positioning, nipple condition, supply, anxiety), newborn factors (jaw size, palate shape, suck–swallow coordination, reflexes) and head to toe examination, before we even look under the tongue. This whole-feed approach ensures we identify all contributors to pain, poor latch, or slow weight gain—not just the visible frenulum.
Specialist skill & safety record. The procedure is performed by our tongue-tie specialist, trained in Boston, USA, and practicing for 13 years with no recorded complications — thanks to meticulous technique, careful patient selection and rigorous risk screening.
Evidence first. You will receive recommendations that are current, evidence-based, and practical. Many short or thick frenula never need releasing, while a properly selected and performed frenotomy (tongue tie surgery) can give almost immediate relief and more efficient feeding. Our clinicians will always talk you through both the benefits and the small risks so you can decide what is right for your baby and family.
Integrated support. If longer-term lactation help would genuinely add value, we can seamlessly involve our in-house Breastfeeding & Lactation Specialist —but we won’t divert you unless it is clearly beneficial.
When to book a tongue-tie assessment?
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Persistent nipple pain or damage despite good positioning
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Feeds that take >30 min or flattened “lipstick” nipple after feeding
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Latching problems, clicking or dribbling at the breast/bottle, poor seal
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“Gumming” or poor tongue extension past the lower lip
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Slow weight gain, prolonged jaundice, or unsettled behaviour during/after feeds, in baby / infant tongue-tie cases
What to expect on the day?
Feed observation – latch quality, tongue movements, suck-swallow coordination, maternal comfort. Structured tongue assessment – appearance and function scored with internationally recognized tools. Frenotomy is offered only if scores meet evidence-based thresholds and conservative measures have not helped.
Full head-to-toe examination – growth, skin, chest, heart, hips and general wellbeing so that no concurrent issue is missed.
Open Q &A – the doctor will answer all of your questions without a time cap, ensuring you leave confident and informed.
Personalised care plan – positioning tweaks, nipple-healing strategies, supply optimisation, or (where indicated) gentle scissor frenotomy.
Optional lactation follow-up – our in-house Breastfeeding Specialist is available when longer-term support is necessary, so your journey stays streamlined.
Evidence-based care – what we do (and what we don’t)
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We offer scissor frenotomy for Type I–III tongue-ties, ideally in the first 3–4 months when it can be performed safely without general anaesthesia. Babies usually settle within minutes. Published complication rates are very low: significant bleeding ≈ 1 in 10 000; infection ≈ 1 in 4 000; re-attachment 2–7 %.
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Current research shows no proven benefit and potential harm of lip tie (upper-lip-tie), cheek tie (buccal-/buckle-tie) releases. Our specialist will happily answer your questions in that regard.
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Transparent decision-making: you will always understand why a release is—or is not—recommended.
Tongue-tie release procedure
Tongue tie (ankyloglossia) affects the thin band of tissue under the tongue. Your baby is gently swaddled; the frenulum is lifted and divided with sterile scissors. A few drops of blood are normal; immediate feeding soothes the baby and aids clotting. Our families frequently travel from Sydney and the Central West for this procedure. The entire appointment usually takes around 1 hour.
After-care & follow-up
From days 2–7 the wound looks like a small whitish ulcer—this is normal healing.
Parents perform gentle stretches three times a day before feeds for a week to minimise re- attachment. We demonstrate the technique and provide a printed guide.
No pain relief is normally required after procedure.
A review in-person is scheduled at one week, with earlier access if needed.
Ready to book a tongue-tie specialist in Blue Mountains?
Appointments are usually available within 7 days.
Call (02) 47489200 to book.
Referral is needed.