Unfortunately, no. Current and ongoing research and experience have shown that these restricted frenula tissues grow with the child and often impact function and growth and development.

Published research has shown that the tie can only be stretched to about 3%. This is due to the collagen type found in these tissues which are similar in comparison to a tendon or ligament which can only be stretched a very small amount.

There is a misconception that frenectomy is a new diagnosis or procedure.


Diagnosis and treatment of ties before the ‘formula age’ were commonplace. As breastfeeding rates have been climbing in the past decade there has been more awareness again about ties in infants.


As for older children and adults, there has been increasing research and experience understanding the impacts of untreated ties on functions listed above.

No. Dr. Siegel typically utilizes various means of pain control and patient management.


Infants to 3-year-olds: a topical anesthetic cream/gel


Age group 3-5 years: a local anesthetic and in some cases an oral sedative may be added for comfort and safety


Young children through adults: a combinations of topical, local anesthetics, and possible inhalational analgesic-like sweet air (nitrous oxide).