Experts Debunk Myths About Lip Ties in Babies

Lip Ties in Babies: Understanding the Basics
Have you heard about lip ties causing breastfeeding problems and thought about surgery? Well, let’s pause and take a closer look at what experts actually say about lip ties. If you’re considering a procedure for your little one, it’s vital to get informed first.
What Exactly Is a Lip Tie?
A lip tie happens when the tissue connecting your baby’s upper lip to their gum—called the labial frenulum—is tighter or shorter than usual. But here’s the wild thing: it’s actually quite common for babies to have this tissue, and most of the time it’s no big deal. As your baby grows, this little piece of tissue often shrinks or adjusts on its own.
Some folks argue that a tight lip tie might interfere with breastfeeding by making it tough for babies to latch properly. However, many medical professionals have found that lip ties rarely cause such issues.
Should You Be Concerned About Lip Ties?
Let’s break it down. The majority of experts, including the prestigious American Academy of Pediatrics, suggest that there’s no need to intervene just because your baby has a lip tie. Surgery, which involves snipping the frenulum (frenotomy), is rarely necessary. Lip ties don’t seem to have a significant impact on breastfeeding or development, and often resolve naturally.
If you are facing breastfeeding challenges, turning to a lactation consultant could be your best bet. These pros can provide valuable advice to improve your baby’s latch without the need for surgical procedures.
Beware of anyone who tells you this is an easy fix for your breastfeeding problems. There’s no definitive evidence that lip ties prevent successful breastfeeding.
Kate Shand, International Board-Certified Lactation Consultant
Exploring Potential Causes of Lip Ties
The exact reason why some babies are born with lip ties isn’t entirely clear. While it’s something that forms during fetal development, why it persists in some and not others remains a mystery — genetics might play a part. Lip ties often show up in families, but they don’t always follow the same pattern as tongue ties.

Speaking of tongue ties, which are caused by a tight frenulum under the tongue, these have shown some ties with breastfeeding issues. Yet, research on lip ties is not as robust, leaving us with a lot of questions and not as many answers.
Diagnosis: Is It Really a Lip Tie?
Recognizing a lip tie yourself can be tricky, as all babies have a frenulum above their upper lip. Even healthcare professionals have struggled to set clear guidelines on what qualifies as a problematic lip tie. Research has leaned heavily towards tongue ties, making our understanding of lip ties somewhat limited.
To Correct or Not to Correct: The Big Question
The bottom line from experts? Frenotomy for lip ties is generally unnecessary and unlikely to solve breastfeeding problems. The American Academy of Pediatrics states that lip ties are a normal part of anatomy and don’t typically require surgical intervention.
If you’re worried about a potential lip tie, starting a conversation with your child’s pediatrician is a smart move. Engaging in discussions about the risks of any procedure with medical experts is key.
What’s Involved in Correcting Lip Ties?
If you were to consider correcting a lip tie, the procedure (called a frenotomy) is straightforward—though controversial and not widely recommended. It involves making a small cut in the frenulum to release tension. However, without strong evidence of its benefits and its invasive nature, many parents and doctors opt to hold off.
Final Thoughts
The world of parenting is peppered with well-meaning advice and information overload. When it comes to lip ties, the consensus seems to be to wait, watch, and get support from breastfeeding specialists if needed. Your baby’s beautiful smile will bloom, lip tie or not!