
Tracheal Shave FAQ
Welcome to our Tracheal Shave FAQ section! Here, you’ll find key details about the procedure, including the surgical technique, recovery process, and pricing.
Whether you’re considering this procedure or simply looking for more information, this section will help you better understand what to expect.
Should I get a Tracheal Shave?
The Adam’s Apple is formed by thyroid cartilage, which sits in front of the voice box (larynx). Despite the common term “tracheal shave,” this surgery doesn’t involve the trachea at all.
Testosterone exposure in puberty can cause the cartilage to thicken and become more prominent.
Adam’s Apple reduction smooths the thyroid cartilage for a more feminine appearance. Many surgeons make an incision directly over the prominence, but we use Facialteam’s TContour® method, which places a small scar under the chin for better concealment.
This procedure is a personal choice. If your Adam’s Apple causes gender dysphoria or misgendering, surgery may help. But if it doesn’t bother you, the risks and costs may not be necessary.
What technique do you use for Tracheal Shave?
We use the TContour® method by Facialteam, which involves:
- A 2cm incision under the chin for minimal scarring.
- A small tunnel to access the thyroid cartilage.
- Cartilage reduction using a diamond bur or ultrasonic piezoelectric instrument, depending on the cartilage structure.
What is the recovery process?
If this is your only procedure, you can go home the same day but must stay nearby overnight. We will see you the day after surgery and again in one week for suture removal (which you can also do yourself if needed).
Swelling in the chin and neck lasts a few weeks, and a sore throat may persist for a short time. Scars mature over months—initially looking good, then appearing red or thick around one month before fading. Makeup can be applied once the wound is closed.
Follow-ups occur at 1, 3, 6, and 12 months, with additional visits as needed. Most swelling resolves by 3 months, but final results take up to 1 year. Some firmness may remain in the area.
Will this affect my voice?
The vocal cords sit behind and slightly below the Adam’s Apple. In our experience, this surgery does not significantly affect the voice. Some patients report subtle changes in resonance or tone, but major shifts are uncommon.
How much does the surgery cost?
Pricing varies between surgeons and patients based on individual needs. At Catalyst Surgical, Adam’s Apple reduction starts at $9,640.
The following services are included in our quotes:
- Pre-op consultation & preparation
- Surgical facility & anesthesia fees
- Material costs
- Lymphatic drainage therapy
- 24-hour post-surgical support
- Post-op care & nursing visits
Interested in FFS? Book a consultation to explore your options.