A tracheal shave, also known as a chondrolaryngoplasty, is a surgical procedure that reduces the prominence of the thyroid cartilage, commonly referred to as the Adam’s apple. This procedure is widely sought after by transgender women as part of facial feminization surgery (FFS), helping to create a smoother, more feminine neckline. While not every transgender woman opts for a tracheal shave, it is a common procedure for those who feel their Adam’s apple contributes to gender dysphoria.
The History of the Tracheal Shave
The tracheal shave procedure has been performed for decades, originally developed to address cases where a prominent Adam’s apple caused discomfort or was aesthetically undesirable. Over time, it became an essential aspect of gender-affirming care for transgender women, allowing them to achieve a more traditionally feminine neck and throat appearance. The technique has evolved with advancements in surgical precision, reducing risks and improving cosmetic outcomes.
Why Do Transgender Women Get a Tracheal Shave?
The prominence of the Adam’s apple is one of the more noticeable secondary sex characteristics influenced by testosterone. For many transgender women, this feature can be a source of gender dysphoria. By reducing the size of the thyroid cartilage, the tracheal shave helps transgender women feel more comfortable in their bodies and confident in their appearance. While the procedure does not affect vocal pitch, it can enhance facial harmony and provide significant psychological relief.
The Procedure: How a Tracheal Shave Is Performed
A tracheal shave is typically an outpatient procedure performed under general or local anesthesia with sedation. During the surgery:
- A small incision is made, usually just below the chin or in a natural neck crease, to minimize visible scarring.
- The surgeon carefully shaves down the protruding cartilage while avoiding damage to the vocal cords, which sit just behind the thyroid cartilage.
- The incision is closed with sutures, and the patient is monitored during recovery.
The procedure typically takes 30 to 60 minutes, depending on the complexity of the case.
How Long Does It Take to Recover?
Most patients experience mild discomfort and swelling for the first 1-2 weeks. Strenuous activities should be avoided for at least a month, and full healing can take several months. Some patients may be able to speak immediately after the surgery, while others might need a few days to regain normal vocal function due to temporary swelling.
How Much Does a Tracheal Shave Cost?
The cost of a tracheal shave varies based on location, surgeon experience, and whether it is combined with other procedures. On average, the cost ranges from $3,000 to $7,000. If performed as part of a broader facial feminization package, the price may be bundled with other procedures.
Is a Tracheal Shave Covered by Insurance?
Insurance coverage for a tracheal shave varies. Some policies cover gender-affirming surgeries, including FFS, while others consider it a cosmetic procedure. Patients should check with their insurance provider and explore options such as financing plans or grants for transgender healthcare.
Is a Tracheal Shave Dangerous?
While generally considered safe, as with any surgery, a tracheal shave carries risks such as:
- Infection
- Scarring
- Voice changes (rare)
- Breathing difficulties (extremely rare)
Choosing a skilled, board-certified surgeon reduces these risks significantly.
Can You Talk Right After a Tracheal Shave?
Most patients can speak immediately after surgery, but their voice may be hoarse or weak due to swelling. It is advisable to limit talking for the first few days to aid recovery.
Does a Tracheal Shave Change Your Voice?
No, a tracheal shave does not directly change the voice. The vocal cords are located behind the thyroid cartilage, and skilled surgeons ensure they are not damaged during the procedure. However, some patients may experience temporary hoarseness or voice changes due to swelling. In rare cases where excessive cartilage removal is performed, there is a small risk of permanent voice alterations.
Does a Tracheal Shave Affect Singing Voice?
Similarly, the singing voice is not usually affected by a tracheal shave. Any temporary changes result from post-surgical swelling, which typically resolves within a few weeks. Singers may want to consult with their surgeon and a vocal coach during recovery to ensure proper healing and voice maintenance.
Does a Tracheal Shave Make Your Voice More Feminine?
No, a tracheal shave does not alter vocal pitch. For transgender women looking to feminize their voice, voice training or vocal surgery (such as glottoplasty) may be more effective.
The Bottom Line
A tracheal shave is a commonly performed gender-affirming surgery that helps transgender women achieve a smoother and more feminine throat contour. While it does not affect the voice, it can significantly enhance confidence and reduce gender dysphoria. If considering this procedure, consulting a qualified surgeon and exploring all options will ensure the best outcome for both aesthetics and overall well-being.
Medical Disclaimer: This article is for informational purposes only and is not intended to replace professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you may have regarding medical procedures, including tracheal shave surgery. Individual results may vary, and all surgical procedures carry potential risks. Consult a board-certified surgeon to discuss your specific needs and circumstances.
