Evaluation: A thorough examination to assess the need for the procedure.
Anesthesia: The procedure is often performed with local anesthesia, especially in older children and adults. In infants, it may be done without anesthesia or with a topical numbing cream.
Cutting the Frenulum: The frenulum is snipped with sterile scissors or a laser, which frees the tongue or lip from its restricted position. The process is usually quick, with minimal bleeding.

 In some cases, a laser may be used instead of scissors, which can reduce bleeding and discomfort during and after the procedure.
Recovery and Postoperative Care
Minimal Discomfort: The procedure typically results in minimal discomfort, and pain relief is rarely needed.
Feeding: Infants can breastfeed immediately after the procedure, which can help soothe them and aid in healing.
Oral Exercises: Stretching exercises may be recommended to prevent the frenulum from reattaching.
Healing: Complete healing usually occurs within a few weeks.
Risks and Considerations
Bleeding and Infection: Minimal risk of bleeding and infection.
Reattachment: There’s a possibility of the frenulum reattaching, requiring repeat procedures.
Effectiveness: While frenulotomy can be very effective, especially in improving breastfeeding in infants, its impact on speech development is less clear and may require additional speech therapy.
Frenulotomy is generally a safe and straightforward procedure with a quick recovery time. It can significantly improve the quality of life, especially for breastfeeding infants and individuals with speech difficulties. However, it’s essential to have a proper evaluation by a qualified healthcare provider to determine if the procedure is necessary and appropriate.