Laryngeal Cartilage Shave

The Procedure

Prior to scheduling the surgery, the surgeon will assess your neck anatomy, often using imaging scans to evaluate the thyroid cartilage and vocal cord position.

If it is determined that you are a good candidate for the procedure, the surgeon will make a small incision in the neck, often hidden in a natural skin fold to minimize visible scarring. Through this incision, the thyroid cartilage is carefully shaved down, taking care not to affect the vocal cords or surrounding structures. The incision is then closed with stitches and a bandage may be applied.

The procedure usually takes 30 – 60 minutes and is typically done under general anesthesia.

Recovery and Aftercare

Patients can expect to have some mild swelling and bruising at the incision site, most of which will subside in less than a week. Most people can resume normal activities in 1 – 2 weeks but should avoid strenuous activities for 4 – 6 weeks.

During the healing process, it can be helpful to apply cold compresses and keep the head elevated as much as possible. Although the vocal cords are not directly affected, patients are advised to avoid shouting, singing or other vocal strain in early recovery.

Complications are rare but may include changes in voice pitch or quality, infection/bleeding or slight asymmetry due to under/over correction.

Although a laryngeal shave can significantly reduce the prominence of the Adam’s apple, it doesn’t eliminate it. Some cartilage must remain to protect the vocal cords. Therefore, as with most facial feminization procedures, it’s important to have realistic expectations.