Tongue ties and lip ties are two types of oral ties.

The lingual frenulum (tongue tie) is the small band of tissue that connects the underside of the tongue to the floor of the mouth, and the labial frenulum (lip tie) is the tissue that connects the upper lip to the gum-line.

When this tissue is too tight, short, or thick oral ties restrict movement, affecting breastfeeding mothers, infants, and children in a variety of ways.

At Agave Pediatrics, we believe that the presence of a tongue tie and/or lip tie can pose a major obstacle for healthy feeding and oral function. Oral tie treatment procedures have long been routinely performed by doctors and midwives across the world; however, the majority of pediatric offices across the U.S. do not routinely perform these corrective procedures that can enhance and prolong the breastfeeding experience.


Agave is one of the very few pediatric clinics in the U.S. that has been providing such care, and has treated thousands of patients for over a decade. We have developed an evidence-based, multi-disciplinary program to manage oral ties: the Agave Approach.