Tongue-tie Home Consultations London

As a mobile specialist midwife, I bring holistic clinical care directly to your doorstep, saving you the stress of traveling across London with a newborn. I provide home-visit tongue-tie assessments and divisions and feeding support throughout London boroughs like Islington, Hampstead, and Walthamstow.

Booking Your Home Visit

We understand that NHS tongue-tie referral wait times can be stressful for new parents. That’s why I offer private, professional care in the sanctuary of your own home, often within 48 to 72 hours, to ensure your feeding journey gets back on track without the wait.

Standard Appointments

Please use the calendar below to secure your consultation or contact me directly. To secure your home visit, a small deposit is taken at the time of booking. This is, of course, fully deducted from the total cost of your care on the day.

Urgent & Weekend Support

If my standard days are full, I occasionally open additional mid-week slots. Weekend availability is also available upon request for urgent cases. If you cannot find a time that works, please contact me directly to discuss.

Feeding & Tongue-Tie Support Pathways

Every journey begins with a deep-dive, unhurried 2-hour clinical assessment. > We focus on your birth story, a whole-body evaluation of your baby's oral function, and direct, hands-on feeding and positioning support. Choose the pathway below that best matches your family's current needs:

Pathway 1: Clinical Assessment & Same-Day Division

  • Total Fee: £290

  • Best for: Families with a prior diagnosis or clear feeding challenges who are ready for a definitive evaluation and an immediate surgical release (frenulotomy) if indicated during the visit.

  • What’s included: The complete 2-hour specialist oral function evaluation, the surgical procedure performed to CQC standards, immediate feeding support, and a dedicated recovery care plan.

  • > Note: If a surgical division is checked and found to be clinically unnecessary or inappropriate during a Pathway 1 visit, your fee is automatically reduced to a standalone consultation rate of £200.

Pathway 2: Holistic Feeding & Oral Function Care

  • Total Fee: £350 (Includes Two Home Visits)

  • Best for: Families who wish to prioritise oral exercises, lactation support, and collaborative bodywork to improve function before deciding on a procedure.

  • What’s included: Your initial 2-hour specialist assessment, positioning and latch support, and a targeted pre-bodywork plan. This is followed by a completely separate second home visit for ongoing clinical feeding support and the surgical division if ultimately required.

All Tongue-Tie Care Includes:

  • Continuous Reassurance: Unlimited text and phone follow-up for total peace of mind during your recovery window.

  • Re-Attachment Guarantee: A free clinical re-assessment in your home after 30 days if you have any concerns about healing or re-attachment.

  • Transparent Pricing: No hidden travel fees, parking costs, or Congestion Charges, ever. Your pathway fee is entirely flat.

At-Home Care

By observing your baby in their own familiar space, we create a sustainable plan that actually works for your daily life.

Read more about what to expect at your appointment here or see common questions below or read more here. For all other specialty inquiries, please contact me directly to book.

Anika Riesen Tongue Tie Specialist and Private Midwife London
Anika Riesen Tongue Tie Specialist and Private Midwife London
Anika Riesen Private Midwife oral functional therapy and specialist lactation support London
Anika Riesen Private Midwife oral functional therapy and specialist lactation support London

About Your Midwife

Your baby’s feeding journey is in safe, professional hands. I am a Specialist Tongue Tie Practitioner and NMC Registered Midwife (PIN 20C1917E), providing expert clinical care across London.

  • CQC Registered: Clinical services provided via The Natal Network, ensuring the highest standards of safety and care.

  • ATP Member: An active member of the Association of Tongue Tie Practitioners (ATP), following the latest evidence-based UK guidelines.

  • Lactation Specialist: IBCLC in training, supporting families in their own environment, primarily across North London and Greater London.

  • Fully Insured: Specialist indemnity insurance via Westminster Insurance for frenulotomy and postnatal care coverage through the Royal College of Nursing (RCN).

Anika Riesen NMC Registered Midwife providing Tongue Tie Division in London and Greater London
Anika Riesen NMC Registered Midwife providing Tongue Tie Division in London and Greater London

Anika Riesen, Midwife and tongue tie practitioner

Common Tongue-Tie FAQ

Anika Riesen Private Breastfeeding Support London
Anika Riesen Private Breastfeeding Support London

Which babies can have a tongue tie division?

Assessment and division are generally suitable for most babies, including babies that have not had vitamin K. However, I do not perform divisions for:

  • Lip ties.

  • Babies over 12 months of age.

  • Babies with a known bleeding disorder or a family history of bleeding (clotting) disorders.

  • Babies with a known heart condition.

By booking an appointment, you confirm that none of these exclusions apply. If any of these conditions are present at the appointment, only a feeding and tongue-tie assessment will be conducted, and a division will not be possible.

How is a tongue-tie assessed and treated?

The Assessment: A professional assessment involves more than a quick look. It includes a full history of your feeding experience and a gentle physical examination. Using a gloved finger, I will feel how the tongue moves, lifts, and stretches. Not all babies require a division on the first appointment, sometimes conservative measures are more appropriate and many parents take their baby to an osteopath or chiropractor to release body tension first. I will also show you oral and body exercises to help release tight oral tissues in your baby.

The Procedure (Frenotomy): If a division is necessary, the procedure is quick and safe.

  • The Process: The restrictive tissue is carefully divided using sterile, specialised scissors. The entire process takes only a few seconds.

  • Pain Relief: For babies under 12 months, the area has very few nerve endings, so anesthesia is not required. Most babies are comforted immediately by a feed right after the procedure. Babies over 8 weeks can have Calpol.

What are the risks involved?

While tongue-tie division is a routine procedure, all surgical interventions carry minor risks:

  • Bleeding: Significant bleeding is rare (approx. 1 in 3,000–5,000).

  • Infection: Extremely rare (approx. 1 in 10,000).

  • Reattachment: In roughly 2–4% of cases, the tissue may heal back together incorrectly, which may require a second procedure.

    Will it help with feeding immediately?

    Every baby is different. Some show an immediate improvement in their latch, while others need time to "re-learn" how to use their tongue. Think of it like a physical therapy recovery; the muscles need to gain strength and coordination. Consistent aftercare exercises and feeding support are key to long-term success.

    Why consider a private practitioner?

    Many families choose private care to avoid long NHS waiting lists during a time when every feed is a struggle. Private appointments generally offer:

    • More Time: Longer consultations to address positioning and latch in detail.

    • Comfort: The ability to have the assessment in your own home.

    • Ongoing Support: Direct access to your practitioner for follow-up questions and reassessments.

    • I provide these specialist home visits across North London, including Hampstead, Barnet, and Islington

    Read more about what to expect during your appointment and aftercare.

Common Myths & Misconceptions

  • "My baby is gaining weight, so it can't be a tongue-tie."

    • This is a common misconception. Many babies gain weight by working twice as hard, but this often leads to maternal pain, early weaning, or extreme infant exhaustion.

  • "It will cause speech delays.”

    • There is no strong evidence that it causes a delay in when a child starts speaking or other speech difficulties.

  • Will you see babies over 6 weeks old?

    • Yes, I can assess and complete divisions on babies up to 12 months old.

  • Will you see bottle feeding babies?

    • Yes, I can see babies who are exclusively bottle fed (formula or expressed breast milk).

  • Will you see my baby even if he or she is gaining weight?

    • Yes, even with good weight gain, a tongue tie may still be present and contribute to other symptoms.

  • Can you see my baby if I chose not to have Vitamin K at birth?

    • Yes, as long as there is no family history of a bleeding disorder. A comprehensive discussion about potential bleeding risks will be conducted.

  • Read more about tongue tie myths.

Contact

Email

Phone

hello@tonguetie.baby

07706 191892

© 2026. All rights reserved.

Tongue Tie Baby London is a trading name of Supporting Motherhood Ltd Registered Companies House: 16712033 182-184 High Street North, London, E6 2JA

Specialist Midwife-Led Tongue-Tie Assessments, Holistic Feeding Care, and Frenulotomy (Division). We offer rapid-response, at-home clinical visits for feeding support and oral function evaluations across London, Essex, and Hertfordshire, including:

  • North & East London / Essex: Walthamstow (E17), Hackney (E8), Islington (N1), Highgate (N6), Crouch End (N8), Muswell Hill (N10), Wanstead (E11), Romford (RM), Loughton (IG10), Chigwell, Buckhurst Hill, and Epping.

  • Southeast London: Greenwich (SE10), Blackheath (SE3), Woolwich (SE18), Charlton (SE7), and Bexleyheath (DA).

  • Hertfordshire Borders: Hertford (SG14), Ware (SG12), Hoddesdon (EN11), and St Albans (AL).

Clinical Services

  • Pathway 1: Clinical Assessment & Same-Day Division (Frenulotomy)

  • Pathway 2: Holistic Feeding & Oral Function Care

Transparent Pricing

Our fees cover the full specialist clinical assessment, hands-on lactation support, and your targeted pathway care plan. We believe in absolute transparency with no hidden travel fees, parking, or Congestion Charges, ever.

NMC Registered Independent Midwife | CQC-Regulated Oversight via The Natal Network

Tongue Tie Baby London CQC Registered Mobile Clinic Oversight
Tongue Tie Baby London CQC Registered Mobile Clinic Oversight
Member of the Association of Tongue Tie Practitioners (ATP) Specialist Midwife
Member of the Association of Tongue Tie Practitioners (ATP) Specialist Midwife