All divisions at the National Tongue Tie Centre are completed using a CO2 laser. My personal preference is to use a CO2 laser for division of both tongue and lip ties. Having performed tongue tie divisions with scissors for 9 years before switching to diode laser and then CO2 laser, the advantages that I have seen are greater precision of division as it is possible to visualise and divide the tie to the appropriate fascial layer. There is little to no bleeding and research shows less inflammation following the procedure.
For all older children, and infants who have had reattachment(s), we can suture the diamond shaped wound together thus removing the need for active wound care in the first week.