Tongue Tie and Breastfeeding


Ankyloglossia, or tongue tie, is a common affliction that can cause impaired breastfeeding and lifelong effects if not corrected in the first twelve weeks of life. Recent research shows that timely intervention improves breastmilk intake up to 155%, with continuing improvement in the post-operative period. Speech and orthodontic impediments later in life may also be mitigated, and more complicated future surgeries may well be avoided.

The office of Dr. Marissa Israel offers state-of-the-art ankyloglossia correction, conducted in an outpatient setting with CO2 laser technology. This procedure, termed a frenectomy, is quick, nearly painless, and features a rapid recovery time with minimal scarring or further discomfort. Dr. Israel is the only practitioner to offer laser ankyloglossia correction in San Francisco.

It is important to note that this procedure is only possible up to the age of three months, after which time the developing infant physiology becomes more inured to poor latch patterns resulting from ankyloglossia and its physical restrictions.

Please read the following educational materials, and contact us today for a consultation.





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Please review our  PATIENT INFORMATION  prior to your appointment. 




Dr. Ghaheri Aftercare Page

VIDEO: Infant Frenectomy

VIDEO: Examination Technique for Tongue-Tie and Lip-Tie

VIDEO: Frenectomy Exercises with Melissa Cole of Luna Lactation

VIDEO: Post-Procedure Exercises



Breastfeeding improvement following tongue-tie and lip-tie release: A prospective cohort study (September 2016)

Tongue Tie: From Confusion to Clarity

Tell Me About Tongue Ties!

Upper Lip Tie Can Destroy Suction

Breastfeeding Problems

Low Milk Supply and Tongue Tie – Closely Connected


general breastfeeding

Breastfeeding Overview

The Benefits of Breastfeeding

Bay Area Breastfeeding and Education

American Academy of Pediatrics Breastfeeding FAQ

The Surgeon General’s Call to Action to Support Breastfeeding

VIDEO: Paced Bottle Feeding For The Breastfed Baby

VIDEO: Breastfeeding Problems


other resources

La Leche League

Dr. Bobby Ghaheri MD

Katie Howser, Lactation Consultant

Choosing A Lactation Consultant

Bay Area Lactation Consultants

Natural Resources Breastfeeding Support

San Francisco Breastfeeding Promotion Coalition