Lip Tie in Babies: What Does a Lip Tie Look Like and Why It Matters
When it comes to newborn and infant feeding challenges, a lesser-known but increasingly recognized issue is the lip tie. Parents may hear the term in passing or during a pediatric or lactation consultation, but understanding what a lip tie looks like, how it affects your baby, and when to seek help is essential for your child’s well-being. Many parents come for consults convinced that their baby has abnormal anatomy. After thorough examination, in many cases, we discover that the anatomy is normal and treatment is not needed for that child.
In this blog post, we’ll explore everything you need to know about lip tie, including signs to watch for, how it can impact feeding, and what treatment options are available. During every dental visit, our team evaluates all soft tissue anatomy, including the lip and tongue.
What Is a Lip Tie?
A lip tie occurs when the upper lip’s frenulum (the small piece of tissue connecting the lip to the upper gum) is too tight, thick, or short. This can restrict the natural movement of the lip, making it difficult for a baby to latch properly during breastfeeding or bottle feeding. In some cases, it can also cause cavities on the front upper teeth because parents are unable to properly brush them.
While mild cases may go unnoticed, moderate to severe lip ties can interfere with your baby’s ability to feed, gain weight, or even make sounds as they develop.
What Does a Lip Tie Look Like?
This is one of the most common questions parents. We also want to differentiate abnormal tissue, from a normal labial frenulum.
- A visible strip of tissue connecting the upper lip to the gum, especially if it appears thick or tight
- Difficulty lifting or curling the upper lip outward
- A gap between the upper front teeth (diastema), especially in older infants
- Blanching (whitening) of the frenulum when the lip is lifted
To check at home, gently lift your baby’s upper lip. Look to see if the frenulum seems restrictive or forms a tight band that prevents the lip from flanging outward.
However, always consult a qualified pediatrician, pediatric dentist, or lactation consultant for a proper evaluation.
Signs and Symptoms of Lip Tie in Babies
A lip tie baby may display several feeding-related symptoms, including:
- Trouble latching or staying latched while nursing
- Clicking sounds during feeding
- Gassiness or excessive fussiness after feeds
- Poor weight gain
- Lip blistering or calluses
- Milk dribbling from the mouth
- Prolonged feeding sessions
- Painful breastfeeding for the mother
These symptoms are often confused with general feeding difficulties, but if they persist, a lip tie may be the underlying cause.
How a Lip Tie Is Diagnosed
Diagnosis typically involves a physical examination by a healthcare provider trained in oral restrictions. They may use a classification system to grade the severity of the lip tie and determine whether it’s contributing to feeding or developmental issues.
A comprehensive evaluation may also include an assessment for a tongue tie (ankyloglossia), which can accompany lip ties in infants.
Treatment Options for Lip Tie
Not every case requires intervention. Many babies with minor restrictions feed and grow without any issues. However, for those experiencing significant difficulties, treatment may be recommended.
Frenectomy
A common procedure to correct lip ties is a frenectomy — the release or removal of the tight tissue using a laser or surgical scissors. This quick and minimally invasive procedure can be performed by a pediatric dentist, ENT specialist, or pediatrician. At Brite Bite, we use soft tissue lasers for treatment.
Post-Procedure Care
After a frenectomy, caregivers are often instructed to perform gentle stretches and follow-up visits to support healing and prevent reattachment. Feeding support from a lactation consultant may also be beneficial.
Does My Baby Need Treatment?
If your baby is feeding well, gaining weight, and not experiencing pain or frustration, observation may be all that’s needed. But if symptoms of a lip tie baby are impacting your feeding journey or causing distress, don’t hesitate to seek professional guidance.If you’re concerned about your baby’s feeding behavior or oral development, schedule an evaluation with a pediatric dental specialist or lactation consultant.