A tracheal shaving is one of the most common operations that people will have to undergo during their gender transition. A tracheal shave is part of facial feminization. The goal is to make the neck and throat more feminine by reducing the prominence from the Adam’s Apple. Technically, tracheal shaving refers to the burring of thyroid cartilage in front the larynx. No matter what gender you are, there is a little cartilage in your throat that protects the vocal chords. This cartilage grows larger during puberty due to hormonal changes.
The Adam’s apple grows in size and causes the pitch to get deeper. A prominent bump is a characteristic that is typically masculine.
What is the Trachea Shave procedure?
- This procedure can be done under general anesthesia, local anesthesia or outpatient options.
- The Adam’s-apple reduction can often be done simultaneously with other gender affirming facial surgical procedures (e.g. Jaw reduction, forehead reduction and rhinoplasty are all possible. If you are experiencing this, general anesthesia will be used to perform the tracheal shave operation.
- Each surgeon will have a slightly different technique. It is important to choose a surgeon who specializes in tracheal shavings and facial gender confirmation surgery (FGCS).
- To avoid any visible or problematic adhesions, the best method to shave the trachea is to make a small horizontal incision under the chin.
- For a smaller Adam’s apple, the surgeon will remove the muscles just in front of the thyroid cartilage.
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