Our Story
Why a General Dentist Revises Infants With Lip and Tongue Ties
Dr. Lynsie Beilman
I care about this work because, before I became a provider in this space, I was a mom searching for answers.
When my first child was an infant, he struggled with significant reflux that continued to get worse. I was repeatedly reassured that he would grow out of it, but something didn’t feel right. I was advised to try reflux medication and bottles thickened with rice cereal. I eliminated what felt like nearly everything from my own diet—dairy, seasonings, cruciferous vegetables, and more—hoping something would help. Nothing seemed to make a difference.
I knew there had to be more to his story.
A close colleague and mentor who performs tethered oral tissue releases reached out to me. When my son was four months old, we took a much deeper look—not simply under his tongue, but at his history, symptoms, and feeding as a whole. After a comprehensive feeding evaluation, we decided to have his tethered oral tissues released and continued supporting him afterward, including care with an infant chiropractor.
I began to see a whole new baby.
That experience changed the direction of my professional life. It sparked a deep-rooted passion to understand why some babies struggle to feed and what we, as providers, can do to better support both babies and their parents. I began pursuing extensive education and training in infant oral function, feeding, airway health, and tethered oral tissues.
When I was expecting my second child, I was determined that this time I would know exactly what to do.
Instead, I learned another important lesson: no two babies—and no two feeding journeys—are the same.
My second experience came with its own challenges. We navigated nipple shields, triple feeding, chiropractic care, and eventually a tongue- and lip-tie release. It wasn’t the simple journey I had imagined, but with the right support and a team of providers working together, I was able to have the breastfeeding experience I had hoped for.
Both of my children taught me something that now shapes the way I practice.
I know what it feels like to be a parent who senses that something isn’t right. I also know how powerful it can be when someone listens to the whole story rather than focusing on a single symptom—or a single procedure.
A frenectomy isn’t the answer for every baby, and I don’t believe it should ever be presented that way. My goal is to listen, evaluate function, educate families, and collaborate with the other professionals involved in a baby’s care. If a release is appropriate, it is one piece of a larger plan designed around that individual baby and family.
I am incredibly thankful that, with both of my children, I felt empowered to advocate for them and for myself and was able to find providers who listened and helped us find our way forward.
That is what I want Untied to be for other families: a place where parents feel heard, informed, supported, and empowered to write their own feeding story.
Dr. Elizabeth Billiot
I care, because I’ve been there. Four out of four of my children had lip and tongue ties, and I chose to have all of them revised.
I was determined to breastfeed before I was ever pregnant so when I found out we were having twins, I did as much research as I could about beginning a good breastfeeding relationship: skin to skin after birth, no pacifiers, no bottles for a few months and absolutely no formula. Then my girls were born 7 weeks early, and my plan went to crap. I could barely hold each of them before they were whisked away to the NICU, never mind skin to skin. Within a day they had been given bottles of formula because my milk hadn’t come in and sleeping with pacifiers in their incubators.
I pumped almost exclusively for the month they were in the NICU and when they came home and got a little bigger and stronger, our breastfeeding journey really began… and it hurt! I had wanted to breastfeed more than anything, but it hurt so bad. The girls gained slowly but were gassy, colicky and cried a lot. They also had terrible reflux, and were put on baby Prilosec. I searched the Internet in desperation and thought their symptoms sounded like ties. So I asked my pediatrician to check if they had lip or tongue ties. He said no. I asked a lactation consultant to check. She said they were tied but not bad. On that news, I begged my pediatrician for a referral to an ENT. The ENT said yes they had lip ties but that doesn’t affect breastfeeding. He didn’t see any tongue ties.
The ENT used a pair of scissors to release one of my daughter’s lips while I held her. It was traumatic for both of us. It bled like crazy, and she screamed so hard, her cry was silent for 20 seconds or so. I couldn’t bare to do my other girl that way, and decided I would just tough it out. Besides, her tie didn’t exist or wasn’t that bad according to everyone. We left without being told anything about post op exercises.
I saw a decent change in the revised baby’s latch and feeding habits. She started gaining weight much quicker than the other. I didn’t make the connection, and brushed it off by saying they weren’t identical and every baby is different. Then, around 8 months they started teething and my unrevised daughter began biting me. Due to the restriction, her lip couldn’t become a barrier between her teeth and my breast.
I was about to quit breastfeeding both of them, when I went to train with Dr. Kotlow, who taught me to use a dental laser to make lip and tongue tie revisions. While I’ve been performing frenectomies (fancy word for tongue tie and lip tie release) with surgical scissors since dental school, my first infant laser revision was my daughter, and I was a hot mess the week before her surgery. But after the stretches were over…I was glad I did it. She started sleeping better and catching up in weight to her sister.
When my third child (another girl) was born, I’d been doing revisions for 2 years and treated close to 1500 babies. Yet still, it took me two weeks after identifying her lip and tongue ties, to actually do the procedure…I was so nervous again.
When I had my son, I thought I had seen it all, but by the time we left the hospital, pieces of flesh were missing from my nipple. In addition to ties, his high palate and recessed chin, made nursing excruciating. After being released from the hospital, my office was our first stop to do his revisions, but not much changed immediately. He was still chomping, not sucking, not having enough wet diapers and not draining my breasts. With the support of a great lactation consultant and chiropractor, we began two weeks of triple feeding, (nursing, pumping and then syringe finger feeding) and a rigorous routine of sucking exercises. Finally his more efficient latch allowed my breasts to heal but it was not the easy start I had anticipated!
I can’t promise an easy fix, but I have an idea of what you are feeling. And I want to help your family.
“Dr Billiot saved my breastfeeding relationship! My daughter’s pediatrician did not diagnose her lip or tongue tie and we struggled through painful nursing and colic for weeks. Two days after the procedure, my baby was a different baby. Better latch, rapid weight gain and no more screaming fits from gas. Thank you Dr. Liz!”
“My son had his ties revised 3 weeks before he turned 2, after 4 different health professionals said they weren’t an issue. He never had issues nursing other than a shallow latch and nursing a ton. At the time of his revision, his teeth began to get the first signs of decay and he still couldn’t walk. After revision, he began walking within a week! I truly believe the ties were affecting his body’s ability to walk. Also, all signs of tooth decay disappeared as we were able to brush his teeth without causing him pain”
“Dr. Billiot and her staff are very friendly and attentive. The office is very comfortable and inviting. My family members have always had a phobia of the dentist, but Dr. Billiot always puts their fears to rest. They know we are in good hands with her. Thank you Ithaca Dentistry.”
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