Tracheal Shave

Reveal Your True Self with a Tracheal Shave

No Scars, Just Confidence

Tracheal shave surgery, also known as thyroid cartilage reduction or chondrolaryngoplasty, is a critical gender-affirming surgical procedure that aims to remove the Adam's apple or the thyroid cartilage notch in the neck. The procedure is most commonly performed on individuals who are transgender and non-binary individuals, though the surgery is needed for some cisgender individuals who desire a more streamlined neck appearance.

While some undergo tracheal shave along with other gender-affirming surgeries, such as facial feminization surgery, many of our Los Angeles tracheal shave patients seek this procedure out on its own.

At Los Angeles Center for Ear Nose Throat and Allergy, we understand that transgender individuals face unique challenges when seeking healthcare, including discrimination, bias, and lack of understanding from medical providers. We believe that every patient deserves to be treated with empathy, respect, and cultural competence, and we strive to provide a welcoming and supportive healthcare environment for all of our patients, including those seeking scarless tracheal shave surgery.

Scarless Procedure

Traditionally, tracheal shave surgery involves making a horizontal incision across the front of the neck, which can leave a visible scar, undermining the gender-affirming purpose of the procedure. However, at the Los Angeles Center for Ear Nose Throat and Allergy, our physician team performs the procedure transorally, a minimally invasive endoscopic method that leaves no visible scar, which is a significant advantage for patients seeking a more discreet outcome.

The procedure is similar to traditional tracheal shave surgery Los Angeles providers will makes a small incision inside the mouth near the lower gum line instead of making an external incision on the neck. This approach allows the surgeon to access the thyroid cartilage without creating a visible scar on the neck. Once the desired reduction is achieved, the incision inside the mouth is closed with dissolvable sutures, and the patient is free to go home the same day.

Tracheal Shave Q&A with Dr. Mendelsohn

Transgender Care

Our doctors are highly trained and experienced in providing medical services to transgender patients, and we take great care to ensure that our patients receive compassionate and personalized care. We understand that undergoing transoral tracheal shave surgery is a crucial step for many transgender individuals in affirming their gender identity and achieving a more congruent physical appearance. Therefore, we approach our patients' concerns and goals with empathy, and we are committed to supporting them throughout their surgical journey.

In addition to empathy, our doctors have a deep understanding of the unique healthcare needs and challenges faced by transgender individuals. We have experience working with patients who are undergoing hormone therapy, gender confirmation surgery, and other related procedures, and we are aware of the potential psychological and social factors that may affect transgender patients, such as gender dysphoria and discrimination. We are committed to providing appropriate referrals and support to our patients as needed.


Scarless Endoscopic Tracheal Shave is a minimally invasive procedure that can be performed in 90 minutes. Recovery is generally straightforward and has a low risk of complications, with most patients able to return to work and regular activities within a week or two. However, patients should avoid strenuous physical activity and refrain from smoking or drinking alcohol for several weeks to promote optimal healing.

If you're considering tracheal shave surgery Los Angeles patients should know that it's essential to consult with an experienced and board-certified surgeon who can discuss the potential risks and benefits of the procedure and answer any questions you may have.

Our Endoscopic Tracheal Shave Surgeons Stand Apart From Other Practices Because They Are Performed By

  • Fellowship-trained laryngeal subspecialists, keeping your voice box and vocal cords as safe as possible.
  • Surgeons who have published peer-reviewed experience with endoscopic tracheal shave, demonstrating excellent safety and efficacy. source
  • Surgeons with Internationally leading experience with scarless tracheal shave.

Overall, tracheal shave surgery can be an effective way to achieve a more aesthetically pleasing neck contour, and with the technique used at Los Angeles Center for Ear Nose Throat and Allergy, patients can achieve their desired outcome without any visible scarring in a welcome and supportive environment. If you are a transgender individual seeking transoral tracheal shave surgery or other medical services, we welcome you to schedule a consultation with one of our doctors. We are committed to providing the highest quality care in a safe and supportive environment, and we look forward to helping you achieve your healthcare goals.

Tracheal Shave FAQ

How is tracheal shave surgery performed?

Traditionally, tracheal shave surgery involves making a horizontal incision across the front of the neck, which can leave a visible scar. However, your doctor at Los Angeles Center for Ear Nose Throat and Allergy performs the procedure in a way that leaves no visible scar. Instead, the doctor makes a small incision inside the mouth, near the lower gum line, which allows access to the thyroid cartilage without requiring an external incision. The doctor will then use a specialized instrument to shave down the cartilage, reducing its size and creating a smoother neck contour.

Is tracheal shave surgery painful?

Most patients report mild discomfort or soreness after the surgery, which can be managed with over-the-counter pain medications. The surgery is performed under general anesthesia, so patients will not experience pain during the procedure.

What are the potential risks and complications of tracheal shave surgery?

The main risk of tracheal shave is injury to the vocal cords, particularly with overly aggressive surgery or with surgeons not experienced with laryngeal, or voice box, surgeries. However, your doctor at Los Angeles Center for Ear Nose Throat and Allergy can discuss the unique methods used by our Laryngologist to ensure the highest level of protection for your vocal cords. Additionally, as with any surgical procedure, tracheal shave surgery carries some general risks and potential complications. These may include bleeding, infection, scarring, and nerve damage. Your doctor at Los Angeles Center for Ear Nose Throat and Allergy will also discuss the potential risks and benefits of the procedure with you in detail.

How much does tracheal shave surgery cost?

The cost of tracheal shave surgery can vary depending on several factors, including the surgeon's experience, the geographic location of the practice, and any additional fees associated with anesthesia or facility use. Your doctor at Los Angeles Center for Ear Nose Throat and Allergy can provide you with a cost estimate during your initial consultation and factor in your insurance coverage if applicable.

Do You Offer Payment Plans

Yes, at our practice, we offer multiple payment options allowing patients flexibility when it comes to any out-of-pocket costs. Our plans do not require a credit check, are available in multiple monthly installments, and afford peace of mind to patients seeking surgery upfront and paying later.

How do I prepare for tracheal shave surgery?

Your doctor will provide you with specific instructions on how to prepare for the surgery, which may include stopping certain medications or supplements, avoiding smoking and alcohol, and arranging for someone to drive you home after the procedure. It's important to follow these instructions carefully to ensure the best possible outcome.

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