Central Texas Oral Surgery Associates
October 26, 2026 · 10 min read
If you’ve been searching for “frenectomy surgery near me” in the Austin, TX area, you’ve likely already heard that the procedure is routine — but finding the right surgical team makes all the difference. Whether your infant is struggling to breastfeed, your child’s speech development has stalled, or your orthodontist has referred you for a frenectomy ahead of braces, the board-certified oral surgeons at Central Texas Oral Surgery Associates (Central Texas OMS) in Austin, TX perform this procedure with precision, care, and the most advanced techniques available.
This guide covers everything you need to know about frenectomy surgery: what a frenum is, why it sometimes needs to be removed, what the procedure involves, what recovery looks like, and how to find the right specialist near you in Austin, Round Rock, Cedar Park, Georgetown, Pflugerville, or San Marcos.
What Is a Frenum — and When Does It Become a Problem?
A frenum (or frenulum) is a small fold of soft tissue that connects a movable part of your mouth to a more fixed structure. There are two primary frenums that oral surgeons address:
- Lingual frenum: The band of tissue running from the underside of your tongue to the floor of your mouth. When this tissue is too short or too tight, it restricts tongue movement — a condition called ankyloglossia, or “tongue-tie.”
- Labial frenum: The band of tissue connecting your upper or lower lip to your gum line. When it’s too prominent or pulls on the gum tissue, it can create a gap between the front teeth (a diastema), cause gum recession, or interfere with proper denture fit.
A frenectomy is the surgical release or removal of a frenum that is causing functional problems. It is one of the most commonly performed soft-tissue procedures in oral surgery and, in experienced hands, takes as little as 15–30 minutes.
Signs You or Your Child May Need a Frenectomy
You might be a candidate for frenectomy surgery near you if you or your child are experiencing any of the following:
- Difficulty breastfeeding (poor latch, maternal pain, poor infant weight gain)
- Speech delays, lisping, or difficulty forming certain sounds
- A visible gap between the two upper front teeth that orthodontics alone cannot close
- Tongue movement restricted enough to affect eating, swallowing, or kissing
- Gum recession or soreness caused by a tight lip frenum pulling on gum tissue
- Discomfort or poor fit with dentures or other oral appliances
- A pediatrician, lactation consultant, or dentist who has recommended a frenectomy evaluation
The good news: when caught early, frenectomies are minimally invasive and results are outstanding. Infants treated in the newborn period often see immediate improvements in feeding. Older children and adults typically notice functional improvements within weeks of healing.
Frenectomy Surgery: What the Procedure Involves
At Central Texas OMS in Austin, TX, frenectomies are performed by board-certified oral and maxillofacial surgeons — specialists who complete four or more additional years of hospital-based surgical and anesthesia training beyond dental school. That level of surgical expertise matters for precision soft-tissue work.
Consultation and Evaluation
Your first visit involves a thorough examination of the frenum, a review of your symptoms and medical history, and a discussion of your treatment options. For pediatric tongue-tie cases, we often coordinate with your pediatrician or lactation consultant to confirm the diagnosis and plan care accordingly.
Anesthesia Options
For infants and very young children, a brief topical or local anesthetic is typically sufficient. For older children and adults — especially those with dental anxiety — Central Texas OMS offers the full range of sedation options, from local anesthesia to IV sedation or general anesthesia administered by our own surgical team. You won’t find that level of anesthesia capability at most general dental offices in the Austin area.
The Surgical Release
Depending on the type and severity of the frenum restriction, your surgeon will use either a traditional scalpel technique or an advanced laser-assisted approach. Both methods are highly effective; your surgeon will recommend the technique best suited to your anatomy and clinical needs. The goal is complete release of the restricting tissue with minimal disruption to surrounding structures.
Closure
For infants, small incisions typically heal without sutures. For older patients with more extensive releases, dissolvable sutures may be placed. The entire procedure is usually completed in under 30 minutes.
Frenectomy Recovery: What to Expect
Recovery from frenectomy surgery is generally straightforward, though it varies by patient age and the extent of the release.
- Infants: Most babies can resume breastfeeding or bottle feeding immediately after the procedure. Mild fussiness for 24–48 hours is normal. Stretching exercises prescribed by your surgeon or lactation consultant help prevent reattachment and maximize the functional benefit.
- Children and adults: Expect mild soreness and some swelling for 3–5 days. Most patients manage comfortably with over-the-counter pain relievers. A soft diet is recommended for the first few days. Sutures, if placed, dissolve on their own within 1–2 weeks.
- Return to activity: Most adults return to desk work the next day. Strenuous physical activity should be avoided for 3–5 days.
- Follow-up: Our team will schedule a post-operative check to confirm healing and address any questions. For tongue-tie releases in children, a referral to a speech-language pathologist or continued lactation support is often coordinated as part of comprehensive care.
Why Choose Central Texas OMS for Frenectomy Surgery in Austin?
When you search “frenectomy surgery near me,” you’ll find general dentists, pediatric dentists, and lactation consultants all offering variations of this procedure. Here’s why an oral and maxillofacial surgeon at Central Texas OMS is your safest, most effective option:
- Board-certified surgical expertise: Our surgeons are trained specifically in oral and maxillofacial surgery — the highest level of credential for any procedure involving the mouth, jaw, and face. See our full guide to what an oral surgeon does in Austin, TX for more context on the difference.
- Full anesthesia capability: We administer IV sedation and general anesthesia in-office. For anxious adults or young children who can’t cooperate under local anesthesia alone, this is a critical advantage.
- Advanced 3D imaging (CBCT): For complex cases involving anatomical variations, our cone-beam CT technology gives surgeons a precise three-dimensional view before making a single incision.
- Comprehensive soft-tissue experience: Our surgeons perform the full spectrum of soft-tissue oral procedures, including frenectomies in Austin, TX and surrounding communities. Complex anatomy holds no surprises for our team.
- Convenient Austin, TX location: Central Texas OMS serves patients from across the region, including Round Rock, Cedar Park, Georgetown, Pflugerville, and San Marcos — typically within a 20–40 minute drive of our Austin office.
- Coordinated, multidisciplinary care: We work closely with your pediatrician, lactation consultant, orthodontist, or general dentist to ensure the frenectomy fits seamlessly into your broader treatment plan.
Our frenectomy patients consistently describe the experience as much simpler and more comfortable than they anticipated. That’s the benefit of working with a surgical team that does this every day in a purpose-built oral surgery suite.
Frenectomy and Orthodontics: An Important Connection
One of the most common reasons adult and teen patients are referred for a labial frenectomy is orthodontic treatment. If a prominent upper labial frenum is pulling the two front teeth apart, orthodontic treatment alone will not permanently close that gap — and if it does close temporarily, the teeth are likely to relapse once braces or aligners are removed.
Your orthodontist will typically recommend the frenectomy be performed after the gap has been closed orthodontically, allowing the suture line to heal in the correct position. At Central Texas OMS, we coordinate directly with your orthodontic team to time the procedure optimally and minimize any disruption to your overall treatment timeline.
For patients pursuing full-arch restorations, it’s worth knowing that frenum position can also affect the long-term success of dental implants and removable prosthetics. Our surgeons routinely evaluate frenum anatomy as part of comprehensive pre-implant planning. Learn more about when to choose an oral surgeon for dental implants in Austin, TX.
Pediatric Frenectomy in Austin: A Word for Parents
If your newborn has been diagnosed with tongue-tie, you may be feeling overwhelmed by conflicting opinions and unsolicited advice. Here are a few evidence-based facts that can help ground your decision:
- Not every tongue-tie requires surgical intervention — only those causing measurable functional difficulty (poor feeding, significant speech delay, etc.).
- When a lingual frenectomy is indicated, the earlier it is performed, the faster the functional improvement. Infants treated in the first weeks of life typically respond most rapidly.
- The procedure is brief, carries minimal risk in experienced surgical hands, and post-operative stretching exercises are a key part of achieving lasting results.
- Central Texas OMS welcomes infants as young as a few weeks old for evaluation. We understand that for nursing mothers, every day of struggle matters.
How to Schedule Your Frenectomy Consultation at Central Texas OMS
If you’re located in Austin, Round Rock, Cedar Park, Georgetown, Pflugerville, San Marcos, or anywhere in Central Texas and you’ve been told you or your child may need a frenectomy, the next step is a consultation with our surgical team. We’ll evaluate the anatomy, confirm whether a frenectomy is indicated, explain your options in plain language, and answer every question you have before moving forward.
Central Texas OMS is a trusted oral surgery practice in Austin, TX with a long track record of serving families across the region. Whether you were referred by your pediatrician, your lactation consultant, your dentist, or your orthodontist — or you simply searched “frenectomy surgery near me” and found us — we’re glad you’re here.
Ready to take the next step? Visit our frenectomy procedure page to learn more about what we offer, or contact us directly to schedule your consultation.
Disclaimer: This blog post is intended for general educational purposes only and does not constitute medical or surgical advice. Individual circumstances vary. Please consult with a qualified oral and maxillofacial surgeon to determine whether frenectomy surgery is appropriate for you or your child.
Frequently Asked Questions About Frenectomy Surgery Near Me
How do I know if my baby has tongue-tie that needs surgery?
Signs include difficulty latching during breastfeeding, poor weight gain, maternal nipple pain during feeding, a heart-shaped tongue tip when the baby cries, or a clicking sound during feeding. A formal evaluation by a board-certified oral surgeon or a trained lactation consultant is the best way to confirm the diagnosis and determine whether a frenectomy is medically indicated.
Is frenectomy surgery painful?
The procedure itself is performed under local anesthesia (with sedation available for anxious patients or young children), so you or your child will not feel pain during surgery. Post-operative soreness is typically mild and well-managed with over-the-counter pain relievers for 2–4 days. Most adult patients describe recovery as easier than they expected.
How long does frenectomy surgery take?
The surgical portion typically takes 15–30 minutes, depending on the type of frenum involved and the technique used. With pre-operative check-in and post-operative instructions, plan for a total visit of approximately 60–90 minutes for adult patients. Infant procedures are often even quicker.
Will my child need speech therapy after a lingual frenectomy?
It depends on the child’s age and the severity of the tongue restriction. Infants who receive early treatment often develop speech normally without additional therapy. Older children who have developed compensatory speech patterns may benefit from working with a speech-language pathologist after the procedure to retrain tongue movement. Our team will guide you on appropriate referrals during your consultation.
Does insurance cover frenectomy surgery?
Coverage varies by plan. Many dental insurance plans cover frenectomy when it is deemed medically necessary, and some medical insurance plans may also cover it — particularly for infants with tongue-tie affecting feeding. Our team will help verify your benefits and explain your financial options before your procedure.
