trachea shave




 Trachea shave is one of the most common surgical procedures for transsexuals. The surgeon reduces the cartilage in the throat to make the shape more feminine.

Common names:

  • Adams apple reduction
  • Tracheal shave
  • Thyroid cartilage reduction (TCR)
  • Chondrolaryngoplasty

The procedure

This can be done as an outpatient procedure under a local anesthesia in the office or under a general in an operating room. Many women do it in conjunction with other procedures.

If you feel your throat, you will feel several horizontal ridges of cartilage on your trachea. If you feel the prominent part, you’ll feel a V-shaped protrusion of cartilage. That’s what they reduce.

The surgeon makes a horizontal incision in a crease of skin on the throat. Then the vertical muscles in the throat are separated to expose the cartilage. Then the surgeon shaves off the most prominent part of the notch and the top of the V.

The laryngeal prominence, or the “Adam’s Apple” as most know it, is certainly one of the common physical features that society associates with the male gender. The Adam’s Apple is made out of cartilage and is thought to exist in order to protect the voice box.

As the male voice box, or larynx, grows during puberty, so does the cartilage around it. Some men end up having more noticeable Adam’s Apples than do others.

But, the Adam’s Apple is not limited to the masculine gender. Females have one too, but it is typically less prominent than the male counterpart.

Recovery and Results

Following the procedure, short term irritation may arise during the healing process. “There is minimal discomfort or pain,” says Keojampa. “Some patients may experience a sore throat for several days, but this pain is controlled with over-the-counter medications such as Tylenol.”

Keeping ice on the area during the first few days following the procedure may also help reduce discomfort. Roughly a week following the procedure, most patients are able to return to their normal daily activities.

The results of chondrolaryngoplasty vary depending on vocal chord attachment, but significant size reduction is often possible. However, it is generally recommended to reduce the Adam’s apple conservatively to avoid potential damage.


Can I Do My FFS In Different Phases? Or Should It Happen All At Once?

While we recommend that facial gender confirmation is completed in a single stage, the procedure may be broken up into phases—typically an “upper face” and ‘”lower face” phase.

Each phase would encompass a cluster of surgical procedures that are closely related to each other to ensure a harmonious balance to the face (i.e. forehead and nose or chin and jaw). The two phases can be performed as close as two days, or as long as several years apart.

And of course, a single, comprehensive facial gender confirmation surgical procedure can also be performed and is preferable in most cases to save on downtime and of course, expense.