Tongue Tie Clinic

Often an infant’s difficulty with breastfeeding can be solved by working with a lactation consultant, bodyworker or other practitioner to work on posture and developing a stronger latch. There are unfortunately instances when a baby’s lip or tongue are tethered in such a way that makes nursing painful or ineffective. In these instances, a release of their lip or tongue attachment (frenum) may be necessary. This is called a frenectomy or a tongue/lip tie release procedure.

In an effort to have a very thorough multi-disciplinary assessment and to only do these releases if absolutely necessary, we have developed a multidisciplinary clinic where infants can be evaluated and treated if needed. On our team we have a lactation consultant, infant bodyworker/massage therapist and a dentist who can diagnose and treat. See their bios below. All appointments are one on one with our practitioners where your privacy is respected.

image of laser lip tie treatment
All procedures are completed using the LightScalpel, a CO2 laser. This laser does not emit heat or water and cauterizes as it cuts. This results in minimal trauma, bleeding and scar tissue and good visibility and accuracy during the procedure.

Our clinic operates on Mondays and Wednesdays on an as needed basis. For questions about the clinic, billing and scheduling please call us during business hours. Patients must be under the age of 1 and must have a vitamin K shot. It is preferred that patients are referred after working with a lactation consultant and/or body worker first. Paperwork should be filled out before the appointment to make things as smooth as possible when you arrive.

Dr. Holman earned her Bachelor of Science degree from Duke University in Biological Anthropology and Anatomy where she graduated with distinction. Her honors thesis work was about linking dental anatomy with feeding function and diet. Dr. Holman has a D.D.S. from University of Maryland and also a Ph.D. in Biomedical Sciences from University of Maryland. Her dissertation was about the role of oral sensory information during infant suckling. She has over 10 peer reviewed papers published in top journals in dysphagia and physiology. She also has two kids that were exclusively breastfed. Oral motor function and lactation are two big interests of hers which makes her ideally suited for this type of work.

Dr. Holman is a life saver. She performed a frenectomy on my 8 week old with a tongue tie, and it was such a game changer for breastfeeding. I was so grateful that she had a lactation consultant and a body work therapist on site to make it as successful of a procedure as possible. Dr. Holman was knowledgeable and professional, but also compassionate about how difficult of a decision this was for me. I am so happy I did it as I can nurse my daughter now without pain!

Notable Continuing Education in Airway/Tongue Ties/Myofunctional Therapy

– Frenectomies & Beyond: A Modern Approach to Laser Education that Challenges Traditional Methods Addressing Ankyloglossia and Tethered Oral Tissues, with Karen Wuertz, DDS, COM
(14 credit hours)
– Tethered Oral Tissues Specialty Training, with Autumn Henning, MS, CCC-SLP, QOM, DABLS (14 credit hours)
– Orofacial Myology: From Basics to Habituation, with Sandra Hotzman, MS, CCC-SLP, COM, QOM (28 credit hours)
– Functional Sleep and Breathing/Frenuloplasty, with Dr. Soroush Zaghi (14 continuing education hours)
– Sleep Apnea 101- Implementation, with Dr. Erin Elliott (14 credit hours)
– ToTs trained provider

Victoria Facelli will be heading up the lactation support in the clinic. She was trained as an IBCLC through the Mary Rose Tully Training Initiative which gives her an extensive clinical background in both inpatient and outpatient lactation work. She has been practicing outpatient in the triangle for two years in her practice Durham Lactation and is a TOTS (tethered oral tissue) trained provider. She focuses on formula positive, shame free and goals based infant feeding care.

A confident-looking woman with many tatoos smiles warmly

Ayden Cox will be providing bodywork support for newborns prior to the revision, and as follow-up support when needed. Ayden has been a Licensed Massage and Bodywork Therapist since 2011, and has spent over 200 additional hours in training in Craniosacral Therapy and Myofascial release in the pediatric population. She has a background in midwifery and has trained with many professionals in the field of Ankyloglossia, including Carol Gray, Michelle Emanuel and Autumn Henning. She is also a TOTs trained provider.

Post-Op Frenectomy Instructions