toddler lip and/or tongue tie clip?
I know this is an older thread... but my son is 15mo old, and we've had chronic latch and nipple issues for me. Luckily he grew fine in the first several months due to oversupply on my end. We had a really horrible time when he was nearly a year old with a cut area on my nipple, bad pain, having to pump for 2 days and let my husband give a bottle of expressed milk, followed by blocked ducts which probably very nearly went into mastitis... Even my mom, who nursed all three of us in the 70s-early 80s, was asking if we should wean given all my pain. My MIL went so far as to basically inform me she thought I should be weaning.

We have done so many things trying to figure out what is going on with his oral issues. He had CST and chiropractic for misalignments he was born with, which definitely helped, but hasn't resolved everything. Low oral motor tone has been suspected due to weird stuff he does with his cheeks, even at this late stage of nursing.
Lately I've realized that he's got a lip tie, and I want to get that taken care of (he's never flared his upper lip, it's hard to brush his teeth, etc.). But I'm also starting to wonder if he might have some amount of a tongue tie that was never diagnosed, perhaps posterior. I am skeptical of how seriously even the ENTs that I have gone to will treat this, and I don't want to waste time. I'm wondering if I should see about going straight to Dr. Coryllos...?
Has anyone had their toddler's lip tie and/or posterior tongue tie clipped after they were a year old? Can it still be done in the office, or would it need to be done in a hospital? Can it be done with just local painkillers and no general anesthesia?
Thanks for any experiences and suggestions shared.