Service for Infants, Children and Adults
The most experienced Tongue Tie Clinic in Ireland
Tongue Tie division and frenuloplasty without the need for General Anaesthetic using a CO2 Laser, the optimal tool for soft tissue surgery

On Site
Medical Assessment - Consultant Paediatrician
Feeding Support - International Board Certified Lactation Consultants
Bodywork and Myofunctional Therapy - Physiotherapy & Myofunctional Therapy Team




Your insurance company will pay a professional fee for the procedure to Dr Roche. This means that all the fees below that involve a frenotomy or frenuloplasty will be €100 less than listed below.

Infants up to 6 months old


Service Cost

Consultation only



Consultation and Frenotomy, Initial Feeding Support (IBCLC) & Physiotherapy Assessment




Additional Services

Service Cost

Second frenotomy (i.e. Lip Tie divided at same time as Tongue Tie)


Lactation Consultation - Initial (45 minutes)


Lactation Consultation - Follow-up (30 minutes)


Infant Physiotherapy


Follow up/Review with Dr Roche



Fees for Infants over 6 months old, children and adults



This is a 4 stage process:

1. An initial consultation with Dr Roche including measurements and photographs.

2. Assessment of oral function and myofunctional work with Kate Roche, Chartered Physiotherapist (2 or 3 Sessions- as required)

+/- Buteyko breathing classes with Louise (Children over 3 years old and Adults)

3. Frenuloplasty under sedation (sedation is optional for adolescents and adults)

4. Post-operative follow up (1 appointment)


Step 1 Cost
Consultation €295


Step 2 - 4 Cost

Pre-op Physiotherapy - (Myofunctional) x2 sessions 

Functional Frenuloplasty including Conscious Sedation

Post-op Review with Dr Roche and Physiotherapist





Additional Services

Service Cost

Buteyko breathing classes (3 x 30 minutes)

€50 per 30 minute session

Additional Myofunctional sessions


Additional Follow up/Review with Dr Roche




You will be provided with a receipt that may allow you to claim further reimbursements from your Health Insurance Provider, if your policy allows.

All fees paid at the National Tongue Tie Centre are eligible as health expenses that can be claimed through your tax return. Please see further information from The Revenue here


Glossary of Terms

Frenotomy is the division of a tie.

Functional Frenuloplasty is the division of a tie and release of sub-mucosal restrictions using CO2 laser (therapist-supported), and suturing of the diamond-shaped surgical site vertically which negates the need for active woundcare.






Why do I use a laser for division?

All Tongue Tie or Lip Tie 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 initially to a diode laser and then on to a 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, no bleeding for nearly all patients and less inflammation and pain following the procedure.