This advice-column-style blog for SLPs was authored by Pam Marshalla from 2006 to 2015, the archives of which can be explored here. Use the extensive keywords list found in the right-hand column (on mobile: at the bottom of the page) to browse specific topics, or use the search feature to locate specific words or phrases throughout the entire blog.
Q: Is there an age when surgically altering the lingua frenulum is too late?
It is never too late to surgically alter a lingua frenum for improved speech function, except perhaps in the case of degenerative disease. The surgery simply frees the tip of the tongue. It allows the tongue a greater range of movement no matter the age.
However, just because the tip is clipped does not mean there is an instant fix to speech. Some clients get very sloppy for a few days or weeks because they are not used to the tongue tip being so free. They need time to settle it down and to establish new movement patterns. Other clients do not move the tongue any differently once the surgery takes place. They need time and encouragement to move it more.