In this episode, Lisa discusses one of the most common concerns after tongue tie release: reattachment. But rather than focusing only on whether tissue has “grown back,” she widens the conversation to include aftercare, feeding function, healing, follow-up, and the importance of an individualized care plan.

Lisa explains why persistent or returning symptoms after frenotomy do not always mean reattachment. Feeding challenges may be related to incomplete release, healing patterns, oral motor habits, body tension, milk supply, latch mechanics, reflux, or the baby needing help learning to use new tongue mobility.

She also reviews current research and guidelines on revision, recurrence, massage, stretching, and follow-up care, highlighting that the evidence is still evolving and that not all studies or professional organizations define aftercare the same way.

Using her CAREFUL™ framework, Lisa explains how professionals can think through these cases more clearly by listening to parent concerns, assessing function, relating symptoms to possible causes, educating families, focusing on function, understanding scope and referral needs, and looping back with follow-up.

The key message: Preventing reattachment is not just about keeping tissue apart. It is about helping feeding function improve.Mentioned in this episode:

Lisa’s course, Professional’s Guide to Tongue Tie in the Breastfeeding Infant, teaches the CAREFUL™ approach and helps professionals move beyond “Is there a tie?” into a more functional, dyad-centered way of supporting breastfeeding families.

Learn more at: tonguetieexperts.net/professional

Lisa’s parent book, Tongue Tie for Parents, is available on Amazon for families looking for clear, supportive guidance about tongue tie and breastfeeding.

More from Tongue Tie Experts

Explore additional resources, including downloads, free guides, and links mentioned in this episode—along with access to our courses and new book:

👉 www.tonguetieexperts.net/Links

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References:

1.) Bhandarkar KP, Dar T, Karia L, Upadhyaya M. “Post Frenotomy Massage for Ankyloglossia in Infants: Does It Improve Breastfeeding and Reduce Recurrence?”Maternal and Child Health Journal. 2022;26(8):1727–1731.(ResearchGate)

2.) Miller JE, Chung HR, Marshall CR, Wilhalme HM, West AN. “Outcomes of stretching exercises after lingual frenotomy in infants: A prospective, interventional study.” International Journal of Pediatric Otorhinolaryngology. 2025. (PubMed).

3.) Nelson L, Prasad N, Lally MM, Harley EH. “Frenotomy Revision Rate in Breastfeeding Infants: The Impact of Early Versus Late Follow-Up.” Breastfeeding Medicine. 2021. (PubMed).

4.) Valle-Del Barrio B, Maya-Enero S, Prat-Ortells J, López-Vílchez MÁ, Candel-Pau J. “Readhesion of Tongue-Tie Following Neonatal Frenotomy: Incidence and Impact of Postoperative Exercises in a Prospective Observational Study.” Children. 2025;12(8):971.(MDPI)

5.) Smart, S., Kittrell, A., Merkel-Walsh, R., & Tseng, R. J. (2024). International Consortium of Oral Ankylofrenula Professionals (ICAP) Practice Guidelines for Ankylofrenula Management. International Journal of Orofacial Myology and Myofunctional Therapy, 50(2), 1-11. https://doi.org/10.52010/ijom.2024.50.2.3

6.) Thomas J, et al. / American Academy of Pediatrics.“Identification and Management of Ankyloglossia and Its Effect on Breastfeeding in Infants: Clinical Report.” Pediatrics. 2024;154(2):e2024067605.

This podcast is meant for education and conversation only. It is not medical advice and does not replace formal education, professional training, or individualized care from a qualified healthcare provider. Always seek appropriate guidance for individual concerns. The views and opinions shared by our guests are their own and do not necessarily reflect those of the host or Tongue-tie experts.