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Gender-affirming care

Tracheal contouring

Dr. Narendra Kaushik, who leads Olmec’s gender-affirming surgical care
Dr. Narendra Kaushik at Olmec. Not a patient result.

Tracheal contouring, often called a tracheal shave, reduces selected prominence of the thyroid cartilage at the front of the neck. It is distinct from voice feminisation surgery. The amount that can be reduced is limited by the anatomy and the need to protect structures involved in voice.

What to know

How it is performed

Through a planned neck incision, the surgeon exposes the relevant cartilage and reduces selected prominence. The location of the vocal-fold attachments and other structures influences the safe extent of treatment.

Who may consider a consultation?

People concerned about a visible laryngeal prominence can discuss assessment. Existing voice symptoms, neck anatomy and previous procedures should be reviewed.

Recovery & follow-up

Temporary neck swelling, tenderness or voice changes can occur. The team advises on incision care, voice use and activity. Any breathing or significant voice concern should be assessed promptly.

Risks & considerations

Discuss visible scars, residual prominence, voice injury, swallowing difficulty and other procedure-specific complications. Complete removal of prominence is not assured.

Questions to bring to your consultation

Ask about the extent of reduction, incision placement, protection of voice function and the limitations and risks of the proposed approach.

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