A tracheal shave, or chondrolaryngoplasty, is a surgical procedure to reduce the prominence of the Adam’s apple. While generally safe, there is a risk of voice changes if not performed correctly. The vocal cords are attached to the thyroid cartilage, and excessive cartilage removal or accidental damage can weaken the voice, alter pitch, or affect vocal strength.
An experienced surgeon carefully removes only the necessary cartilage to maintain voice function while achieving a smoother neck contour. Temporary hoarseness may occur post-surgery, but it usually resolves with proper healing. At Centre for Surgery, our specialists prioritise both aesthetics and vocal integrity.
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Will a Tracheal Shave Change Your Voice?
A tracheal shave requires precision and expertise to avoid complications, particularly those affecting the voice. Since the vocal cords are attached to the thyroid cartilage, any excessive removal or accidental damage to surrounding structures could lead to hoarseness, voice weakness, or a subtle change in pitch.
Transgender women and non-binary individuals most commonly request tracheal shave surgery as part of their gender-affirming journey, though some cisgender men and women also seek the procedure. The challenge in this surgery is achieving the desired aesthetic result while preserving vocal integrity. The larynx may lose support if too much cartilage is removed, leading to persistent hoarseness. On the other hand, if not enough is removed, the prominence of the Adam’s apple may still be noticeable, requiring further revision surgery.
To minimise the risk of voice changes, it is crucial to choose a skilled and experienced surgeon who understands the delicate anatomy of the larynx. Temporary hoarseness and swelling are common after the procedure, but these typically resolve within a few weeks as healing progresses.
Tracheal Shave Procedure and Techniques
A tracheal shave is a relatively quick procedure, usually completed within an hour under general anaesthesia. It is performed as a day case, meaning patients can return home the same day. Prior to surgery, patients are advised to stop smoking or vaping and discontinue any blood-thinning medications at least one week before the operation.
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The surgery itself involves two different approaches. The direct approach involves a small incision on the front of the throat over the thyroid cartilage — while this may result in a visible scar, it typically fades over time. The indirect approach involves making a horizontal incision under the chin, where the scar is hidden within the natural skin crease.
To preserve the voice, the surgeon carefully maps the vocal cord location before removing any cartilage using a specialised scope. Once marked, the surgeon shaves down the Adam’s apple in a controlled and gradual manner, removing only as much cartilage as necessary to achieve a smooth, natural-looking neck contour.
Recovery after Tracheal Shave Surgery
Recovering from a tracheal shave is generally smooth, with most patients experiencing mild to moderate swelling and bruising that can last anywhere from two to six weeks. It is common to experience temporary hoarseness or a slight reduction in vocal range, but this typically resolves within four weeks as the body heals.
To minimise discomfort, it is advised to stick to a soft food or liquid diet for the first few days, allowing the throat to rest. Talking should be kept to a minimum, and raising the voice, shouting, or singing should be avoided for at least 2 weeks to prevent vocal cord strain. Most people can return to work within a week, and light physical activity can be resumed after seven to ten days.
Healing and Final Results
Healing from a tracheal shave is generally quick, with minimal discomfort if proper pre-operative and post-operative care instructions are followed. The final results become more apparent as swelling diminishes, usually within two to three months. This procedure is often included as part of facial feminisation surgery, but it is also sought by cisgender individuals who wish to reduce the prominence of their Adam’s apple.
How Much Does a Tracheal Shave Cost in London?
The cost of a tracheal shave in London typically starts at around £6,000. However, the final price can vary depending on several factors, including the complexity of the procedure, the surgeon’s experience, and the clinic where the surgery is performed. At Centre for Surgery, we offer flexible financing options, including 0% interest plans, so patients can spread the cost into manageable monthly payments.
Tracheal Shave at Centre for Surgery
At Centre for Surgery, we specialise in tracheal shave surgery, offering expert care in a state-of-the-art setting. Our highly skilled surgeons have years of experience performing this delicate procedure, ensuring a refined, natural-looking result while prioritising vocal preservation. Whether you’re undergoing tracheal shave as part of facial feminisation surgery or simply wish to reduce the prominence of your Adam’s apple, our team provides personalised care tailored to your needs.
Our Baker Street clinic in London is equipped with the latest surgical technology, allowing us to perform tracheal shaves with precision and minimal recovery time. We are committed to providing comprehensive support from consultation to post-operative care.
To book your consultation: 📍 95-97 Baker Street, London W1U 6RN | 📞 0207 993 4849 | 📧 contact@centreforsurgery.com
For more details, visit our About Us page, explore our flexible finance plans including 0% APR through Chrysalis Finance, read our plastic surgery blog, check our Clinic FAQs, or meet our team of specialists.
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