Chattanooga Tongue Tie and Breastfeeding Support | Chattanooga Lactation

Diagnosed With A Tongue Or Lip Tie? Or Think Your Baby Might Have A Tie?

Lactation Therapy and Breastfeeding support for Tongue Tied Babies in the greater Chattanooga area

Ashley Lucas, RN, IBCLC has extensive training with tongue/cheek/lip ties helping families reach optimal oral feeding and to greatly improve outcomes of the breastfeeding relationship by providing Lactation Therapy. REMEMBER: Tongue/lip-tied breastfeeding infants, it’s recommend to have a consult with Ashley PRIOR to and AFTER having a tongue/lip frenelum released in order to gauge and track symptom improvement, healing and reattachment. Meeting before ties are released allow us to go over all the options, timeline, referrals, exercises to make sure the ties are released at the most optimal time to lead to the most success! It’s easy to schedule! See steps below.

Tongue tie chattanooga Lactation consultant
Restricted, short, thick frenulum under the tongue. This baby could not transfer milk at the breast and spilling milk when drinking from a bottle
photo By Ashley Lucas, RN, IBCLC .


Many medical professional’s and even a lot of Lactation consultants do not fully understand the symptoms and signs of tethered oral tissue. Some medical professionals have taken extra training on how to identify and treat oral restrictions and how it can affect the breastfeeding dyad. Going to a provider who is skilled at identifying ties is important for appropriate treatment and diagnosis and working with a trained IBCLC to continue support through the healing process.

Tongue tie and lip tie can be controversial topic to healthcare providers. It is important to understand that IBCLCs can not diagnose a tongue tie or lip tie, we can assess and work with providers and families to help resolve suboptimal feeding issues.

Not all frenums are ties, tongue ties can’t be diagnosed simply by looking at a picture, it takes lifting the tongue and assessing oral function at the breast or bottle.

I will do a manual oral exam, take detailed photos, and use multiple assessment tools to assess whether your baby’s oral function is optimal and collaboratively work with your providers. Lactation therapy will be provided to help with strength and coordination. I will provide you support from the beginning to the end until reaching your feeding goals.


  • Pain with breastfeeding
  • Nipple damage or misshapen nipples
  • Low milk supply
  • Vasospasms on nipples
  • Mastitis or blocked ducts
  • Thrush
  • Vasospasm’s
  • Sleep deprivation because baby isn’t able to nurse efficiently


  • Swallowing air “Aerophagia”
  • Poor weight gain
  • Poor transfer of milk
  • Dimpling of cheeks
  • Unable to sustain a deep latch
  • Clicking when breastfeeding
  • Choking on milk
  • Excessive fussiness
  • Chomping and biting
  • Tires easily at the breast
  • Frequent and long feedings
  • Spilling milk at the breast or bottle feeding
  • Fussy
  • Poor sleeping
  • Tight muscles (Hypertonic)
  • High palate
  • Heart shaped tongue


  1. Schedule a consult for Lactation Therapy. In-home or office appointment here , located in Ooltewah, conveniently located within minutes of Chattanooga’s preferred local tie release providers. (Office is under construction🚧 at this time). If you use Dr Wright with Chattanooga Tongue Tie Center, I will meet you there if we work our schedules out. For more available times please text me at 423-619-3622.
  2. Office, In-home, and Telehealth may be covered at 100% with no out-of- pocket fees for 6 or more visits! Additional visit are based on medical necessity. Check coverage with Ashley Lucas, RN, IBCLC here Lactation Network.
  3. Recommend an appointment BEFORE procedure and followup visit AFTER the procedure 3-5 days post release. Sometimes more than one visit is needed.
  4. We will discuss concerns and questions, what to expect with the procedure, refer you to our preferred laser providers and body workers, observe a feeding at the breast or bottle. I will provide education on Lactation therapy which includes suck training exercises that you will start before the release based on the individualized oral evaluation. You will get a detailed care plan after our visits for the best success with healing and oral function, so you can feel confident and focus on comforting your little one after the procedure.
Pre and post tongue tie release
Play therapy to help with breastfeeding
Tummy time
Lactation therapy post release

“We had my newborn’s tongue and lip ties revised and needed support as we learned to nurse after her revision. Enter Ashley Lucas. She is so knowledgeable about all things breastfeeding and specifically oral ties and revisions. She swooped in and put us at ease, and taught us so many amazing exercises to help our baby adjust to her new range of motion. IBCLC’s who are educated in the nuances of ties are few and far between. If your baby has ties, make sure you book with Ashley! She will help make sure you have a smooth recovery process and your baby’s mouth will heal properly!” -Hannah J.

“Ashley SAVED my breastfeeding journey! My pediatrician could not figure out what was wrong with my baby and it turns out that she had a severe tongue tie. Ashley came over to our house and we felt super comfortable with her. Ashley recommended us to a doctor who was able to correct it. My daughter nurses great now! I was honestly about to give up breastfeeding as I thought I was doing something wrong. Thanks Ashley ❤️“

Tongue and lip tie chattanooga lactation
Click picture to see all the IBCLC’s in your state that are tongue tie knowledgeable.