Traditional vs. Scarless Tracheal Shave
A traditional tracheal shave involves making an incision on the neck directly over the location of the Adam’s apple. Then, using a surgical burr, Dr. Sajan gently shaves down the cartilage to reduce its protrusion. Since people assigned female at birth do have some thyroid cartilage, the cartilage is not fully removed. When performed using this classic method, the procedure is usually relatively quick and simple.
The transoral tracheal shave technique accesses the Adam’s apple through an incision in the mouth. This is the same incision Dr. Sajan may use to place a chin implant or shave down the jaw during feminization surgery. Using images captured either during or before surgery, Dr. Sajan navigates directly underneath the skin until he reaches the thyroid cartilage. From there, the scarless tracheal shave looks almost identical to a traditional one. A burr tool shaves down the cartilage to reduce the size of the Adam’s apple before closing the intraoral incision.