The decision to correct the structural anomaly can only be achieved after a comprehensive evaluation of the medical history, feeding history as well as signs and symptoms in baby and mother. Dr. Patty will then perform a structural assessment on your baby using a knee-to-knee exam.

A complete oral motor functional assessment is critical not only for a proper diagnosis of Tethered Oral Tissues (TOTs) but also for a successful outcome. While some babies may present a very obvious tie, others can have a posterior tongue tie (submucosal), which could be more challenging to identify. If treatment is recommended, our occupational therapist who specializes in infants will conduct a complete evaluation and then recommend a series of exercises not only to strengthen your baby’s tongue but also to prepare him/her for the release.

If you were referred to us by your lactation consultant or occupational therapist, consultation notes will be sent to her/him, and we will work closely with them to ensure a successful outcome. In some instances, a consultation with our craniosacral therapist will be recommended to locate and alleviate areas of your baby’s body that are restricted and/or unbalanced because of the Tethered Oral Tissues (TOTs).


The procedure may be performed as early as a few days after birth all the way into adulthood. However, the sooner it is addressed, the fewer compensatory issues the child is likely to develop. The release is done by Dr. Villalta using a state-of-the-art CO2 laser. The noninvasive procedure lasts between 10 to 15 seconds with minimal to no bleeding.

Immediately after the procedure, our IBCLC will take you to our breastfeeding room and assist you with the initial latch to the breast or bottle to ensure a deep latch.

If you were referred by your lactation consultant, she is more than welcome to accompany you the day of the procedure and assist you afterward while at our facility.


Dr. Villalta will give you a set of exercises to do at home to prevent reattachment. A follow-up visit will be scheduled one week after the procedure and subsequent visits might be recommended depending on your baby’s healing.

If you suspect your baby has a tongue-tie or lip-tie, call us today to schedule a comprehensive evaluation with Dr. Villalta