FrenotomyñNo anesthetic neededñNo suturingïFrenectomyñLocal or general
anesthetic usedñSutures placedïZ-plastyñMore complexñSutures placedHaving
brought up the tongue-tie issue, I think I should clarify some of the
confusion that has arisen regarding the severity of the procedure to release
tongue-tie:

A frenotomy is a simple release.  It requires no anesthesia and no suturing.
It is a rapid outpatient procedure with little or no bleeding.  From
observation, and from report from those who are old enough to be verbal, it
is virtually painless.  It involves making a small slit in an almost
transparent membrane.

A frenectomy is a more serious surgical procedure, requiring both anesthesia
(local or general) and sutures. It involves slicing and perhaps removing
denser tissue, which may include muscle.

A Z-plasty is the most involved and potentially serious types of surgery for
tongue release.

See www.brianpalmerdds.com/frenum_pdf.pdf for more info.

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