Tracheal Shave Chondrolaryngoplasty Bellevue

Chondrolaryngoplasty aks tracheal shave, trach shave, Adam’s apple removal.. can be part of FFS or facial feminization surgery and involves surgical downsizing of the prominence of the thyroid cartilage to achieve a more feminine neck aesthetic. The result is a reduction in the prominence seen on the anterior neck of trans women. This commonly known as the Adam’s apple in cis men.

Thyroid Cartilage Anatomy

Tracheal Shave Diagram

The thyroid cartilage is the largest cartilaginous structure of the larynx. It is has two halves that meet in the midline called the laryngeal prominence. This is also known as the Adam’s apple. This is regarded as a masculine characteristic and is more prominent in cis men. There is a notch above the prominence known as the superior thyroid notch. The thyroid protects the vocal cords which are located behind it. During tracheal shave it is important to not disrupt the vocal cords and maintain the anatomy of the muscles superficial to the cartilage namely the thyrohyoid and sternohyoid muscles.

Tracheal Shave Procedure

The procedure is relatively simple. It can be performed under local anesthesia with or without sedation or under general anesthesia. It can be performed as an isolated procedure or in the setting of FFS. A small incision is made horizontally above the prominence in attempt to hide the scar along the neck where the submental region meets the neck or in an existing neck crease. The muscles are seen and separated proceeding towards the cartilage. The prominence causing the cosmetic issue is removed, therefore flattening the area. The soft tissues are closed over the cartilage and the skin.

Tracheal Shave Recovery

It is a same day procedure. There may be some swelling and bruising after the procedure for a week or two. The area should be kept dry for 48 hours after the procedure. Scar therapy involves silicone gel and compression techniques.

Tracheal Shave Complications

  • Bleeding
  • Hematoma
  • Infection
  • Altered voice or loss
  • Scarring
  • Loss of sensation or Altered sensation in the area

With any surgical procedure complications can occur, but are generally low. We encourage that you ask about complications during your visit with Dr. Parikh. Dr. Parikh will ensure that your safety is first and discuss any concern in great detail that is tailored to your specific medical history.

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Aesthetic Facial Body Plastic Surgery

Dr. Rikesh T. Parikh, MD

1810 116th Ave NE, Suite 102, Bellevue, WA 98004