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The South Florida Center for Cosmetic Surgery, located in Fort Lauderdale, has served over 10,000 clients. Known for delivering the highest level of service, quality, and the latest techniques in cosmetic care.
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For many transgender women and nonbinary individuals, the appearance of the Adam’s apple can be a source of gender dysphoria or discomfort—especially when it feels at odds with their overall facial features. A tracheal shave, also known as Adam’s apple reduction or chondrolaryngoplasty, is a gender-affirming facial procedure designed to reduce the prominence of the thyroid cartilage and create a smoother, more traditionally feminine neck contour.
This procedure is subtle but deeply powerful—it doesn’t change who you are, but it helps bring your appearance into alignment with how you feel on the inside. Whether you’re pursuing facial feminization surgery (FFS) as part of a larger transition or simply want to feel more at home in your skin, a tracheal shave can be an empowering step in your journey.
At the South Florida Center for Cosmetic Surgery, we understand that gender-affirming care is about more than just aesthetics—it’s about self-acceptance, safety, and confidence. Our experienced team will personalize your treatment to meet your goals, anatomy, and comfort level, ensuring a result that feels affirming and authentically you.
At the South Florida Center for Cosmetic Surgery, we believe your appearance should reflect who you truly are. No two patients are the same—and no facial procedure should be either. A tracheal shave is a personalized, gender-affirming surgery designed to help you feel more confident and aligned with your identity by reducing the visibility of the Adam’s apple.
Whether you’re undergoing a full facial feminization journey or simply looking to soften the profile of your neck, our skilled plastic surgeons will tailor your procedure to your unique anatomy and desired outcome. The surgery involves carefully contouring the cartilage of the larynx to reduce its projection—achieving a smoother, more feminine neckline while preserving your voice and airway safety.
For many transgender women and nonbinary patients, this procedure is more than cosmetic—it’s a transformative step toward self-affirmation, comfort, and confidence in how they present to the world.
The cost of a tracheal shave at the South Florida Center starts at $2,499 (not including anesthesia and surgeon fees). Final pricing may vary depending on your specific anatomy and any other procedures performed at the same time.
To help make gender-affirming care more accessible, we offer flexible financing options through trusted third-party providers with a simple approval process. Our compassionate team is here to support you every step of the way.
A tracheal shave—also known as a chondrolaryngoplasty—is a surgical procedure that reduces the prominence of the thyroid cartilage, commonly known as the Adam’s apple. This subtle but powerful change can create a smoother, more feminine neck contour and play a key role in gender-affirming care.
Advanced techniques are used to preserve the structure of the larynx while avoiding damage to the vocal cords, which sit just behind the thyroid cartilage. Your voice and breathing function are protected throughout the procedure.
Tracheal shave surgery is usually performed under general anesthesia and takes about 1 to 2 hours. Patients return home the same day and are provided with personalized aftercare instructions to support smooth healing and optimal results.
The procedure typically begins with a small incision placed discreetly along a natural crease of the neck, just under the chin or near the Adam’s apple.
Through this incision, your surgeon will gently shave down the cartilage that forms the Adam’s apple.
It contours to achieve a flatter, softer profile. This careful placement also ensures minimal visible scarring once healed.
While a tracheal shave is a powerful step toward aligning your appearance with your identity, many patients choose to pair it with other procedures to create more comprehensive results. At the South Florida Center for Cosmetic Surgery, our expert team can help you explore additional options based on your personal goals and timeline. Popular combinations include:
Procedures such as rhinoplasty, chin or jaw contouring, or cheek implants can help enhance facial proportions and bring out a softer, more balanced aesthetic.
Many patients choose to pair their tracheal shave with breast augmentation to achieve a more feminine chest contour. Our plastic surgeons are experienced in tailoring results to fit your unique anatomy & vision.
Sculpting procedures like liposuction, HD lipo, or fat transfer can help accentuate curves, slim the waist, and support a more gender-affirming silhouette.
Complement your surgical results with non-invasive options like Botox, dermal fillers, or skin rejuvenation treatments to refine features and boost confidence during or after recovery.
By combining procedures, you may be able to reduce total downtime, consolidate healing periods, and feel more aligned—both physically and emotionally—with the version of yourself you’re ready to embrace. During your personalized consultation, our team will work with you to create a safe treatment plan that supports your transition and your goals.
The Adam’s apple is a defining feature of the masculine neck. By gently reducing the prominence of the thyroid cartilage, a tracheal shave creates a flatter, more contoured neck that aligns with your gender identity and aesthetic goals.
For many transgender women and nonbinary patients, the Adam’s apple can be a visible source of dysphoria. After surgery, patients often report feeling more confident in photos, video calls, social interactions, and while wearing clothing that reveals the neck or chest area.
Because the incision is placed in a natural crease of the neck, the scar is typically discreet and fades significantly over time. The results are subtle but meaningful—most people won’t notice you’ve had surgery, but you will feel the difference.
Tracheal shave is often performed on its own, but it can also be combined with other gender-affirming procedures such as facial feminization surgery or voice feminization surgery for more holistic results.
This outpatient procedure takes just 1–2 hours, and most patients are able to return to light activities within a few days. The recovery is generally smooth, with minimal discomfort and long-lasting results.
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Rellene nuestro formulario de consulta virtual en línea para que podamos obtener más información sobre usted y sus necesidades específicas. Asegúrese de incluir cualquier duda o pregunta que tenga para nuestro personal o cirujanos. También existe la opción de adjuntar fotos para que el cirujano las revise cuando evalúe su caso.
En la mayoría de los casos, el asesor de atención al paciente asignado le enviará una propuesta por correo electrónico en un plazo de 24 horas a partir del envío de la solicitud. Este le mostrará un desglose de los precios, lo que está incluido y los siguientes pasos para seguir adelante con la cirugía. También podrá ponerse en contacto con su asesor si tiene preguntas o dudas sobre la intervención.
Para seguir adelante con su cirugía, el cirujano debe evaluar su cuerpo y sus objetivos específicos. Los pacientes pueden enviar fotos incluyendo múltiples ángulos (frontal, posterior, y ambos perfiles) junto con comentarios acerca de sus objetivos y preocupaciones, o puede programar una videollamada a su conveniencia para reunirse virtualmente con el cirujano. Ofrecemos consultas virtuales con el Dr. Robert Cucin, el Dr. John Pinnella, el Dr. Brandon Elnekaveh, y el Dr. Rohan Policherla. También ofrecemos consultas en persona con un depósito de $ 500 que va hacia el costo total de su cirugía.
Tras la consulta, ya sea mediante fotos, videollamada o en persona, el cirujano creará un plan quirúrgico y le aprobará como candidato para la intervención. El cirujano también podría sugerirle otro procedimiento. Su asesor de atención al paciente se pondrá en contacto con usted para confirmar la aprobación del cirujano y responder a cualquier pregunta que pueda tener.
Una vez que esté listo para seguir adelante, puede dejar un depósito de $ 500 usando una tarjeta de crédito, dinero en efectivo, o uno de nuestros socios de financiación de confianza. Este depósito se destina al coste total de su cirugía. Los depósitos no son reembolsables, pero permanecen como un crédito del centro por un período de un año.
Después de dejar su depósito, usted está listo para programar su cirugía. Nuestro supervisor de programación se pondrá en contacto con usted y elegirá las fechas para sus citas preoperatorias y quirúrgicas que más le convengan. Si usted no está listo para programar de inmediato, háganoslo saber cuándo ponerse en contacto y estaremos encantados de seguir en un momento posterior.
Get a free Tracheal Shave surgery consultation. Enter your information below and one of our coordinators will reach out to begin your consultation process.
30 - 1 día antes de la intervención
You’ll complete a pre-operative consultation where your surgeon will review your anatomy, health history, and goals. Pre-op photos, bloodwork, and medical clearance (if needed) are finalized during this stage. You’ll also receive detailed instructions to prepare for the day of surgery.
Día de la cirugía
Tracheal shave surgery is typically performed under general anesthesia and takes about 1 to 2 hours. The surgeon makes a small incision in a natural crease of the neck, carefully reduces the thyroid cartilage, and closes the incision with fine sutures. Most patients go home the same day with a light dressing in place.
1 día postoperatorio
Expect mild discomfort, tightness, or a sore throat. Swelling and slight bruising around the incision are normal. You’ll be advised to speak minimally and rest your voice to avoid strain on the healing tissue. You may also be prescribed medication to manage pain and inflammation.
1 semana postoperatoria
Stitches may be removed, or you’ll attend a follow-up to ensure healing is on track. Most patients feel more comfortable at this stage but should continue avoiding strenuous activity, heavy lifting, or excessive talking. Swelling and tenderness begin to subside.
1 mes postoperatorio
Your incision will continue to heal and fade. Most patients can return to normal social activities and light work. Voice use can gradually increase, but any lingering hoarseness or vocal fatigue should be monitored. Your surgeon will let you know when you’re cleared for more intense activity.
2 - 12 meses después de la operación
By this point, residual swelling has resolved, and your neck will have settled into its new shape. The incision scar will continue to fade, especially with proper scar care. Patients typically enjoy long-lasting results with improved confidence in their facial profile and daily interactions.
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Gracias por todo lo que hacéis. ¡Todo el personal es fantástico! ¡La operación salió bien y los resultados son fenomenales! ¡Estoy deseando que llegue mi próxima intervención!
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Rohan Policherla, MD es un cirujano plástico y reconstructivo especializado en cirugía estética.
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John Pinnella, MD es un cirujano plástico y reconstructivo especializado en cirugía estética.
South Florida Center for Cosmetic Surgery has been around for over 20 years. We are located just a few blocks from the beach in Fort Lauderdale. With multiple board-certified and expert plastic surgeons, our 8,500 sq ft office-based surgery center specializes in a variety of procedures to meet our patients’ needs. We have been recognized by Boca Magazine’s Top Doctors, Fort Lauderdale Magazine’s Top Docs, Best of Fort Lauderdale, RealSelf Verified Doctor and have over 500 5-Star reviews.
Premios y reconocimientos
Tracheal shave surgery, also known as Adam’s apple reduction or chondrolaryngoplasty, is a gender-affirming procedure that reduces and shaves the prominence of the thyroid cartilage. This creates a smoother and more feminine neckline and profile, ideal for any transgender women and non-binary patients.
Yes, a tracheal shave is often included in a more complete facial feminization surgery transformation. Patients can have the option of only undergoing tracheal shave surgery, or they can combine it with any other surgery to obtain a more complete transition based on their needs and goals.
Tracheal shave is done under general anesthesia, takes around 1-2 hours, and your surgeon makes a small incision in the natural crease of your neck to carefully shave and reduce the size and prominence of the thyroid cartilage using precise surgical tools to not cause any type of damage to your vocal cords. The result? A smoother and more feminine neck contour with affecting functionality.
When a tracheal shave is performed by an experienced surgeon, this procedure shouldn’t affect or alter your voice. However, it is very important to limit the use of your voice, especially during the first couple of weeks, to avoid vocal fatigue. Voice changes are more commonly addressed with a voice feminization procedure.
Tracheal shave, like any other surgery, leaves a scar. However, the incision is very small, and it is placed in the natural fold of the neck to make the scar as discreet as possible. Our post-operative team will also provide you with detailed after care instruction to ensure your scars fade significantly over time.
This surgery is considered a quick procedure that requires a shorter period of recovery. Most patients are cleared to resume normal activities within 1-2 weeks, and they get to experience full healing and final results within 3-6 months post-op. Your surgeon will advise you to rest your voice and avoid strenuous activities, especially during the first few weeks of recovery.
Patients often report mild soreness, tightness, and a sore throat after tracheal shave surgery rather than pain. Discomfort is generally very manageable with prescribed medication and following your post-surgical instructions. Most patients describe the recovery as tolerable and relatively quick.
Yes. Patients have the option to do a tracheal shave, a single procedure, or combine it with other facial feminization techniques. Common combinations include rhinoplasty, breast augmentation, and non-surgical treatments such as lip filler and Botox. Your surgeon will create a custom approach to ensure your safety and enhance your aesthetic results.
As with any other surgery, there are potential risks involved with a tracheal shave procedure, such as infection, bleeding, visible scarring, or changes in your voice. It is important to do your research to choose a skilled facial surgeon, experienced in trans-care, to ensure a smooth process from start to finish.
Having realistic expectations is key when it comes to tracheal shave results; they all vary depending on the patient’s anatomy, but most report and notice a visible reduction in the prominence of the Adam’s apple. The final results are visible within 3-6 months, and it achieves a smoother and more feminine neck contour that aligns closer with their gender identity.
In most cases, stopping your hormone therapy is not necessary; many patients continue their treatment before and after surgery, and it doesn’t affect their system on the day of surgery. However, it is very important to disclose this information to your surgeon in detail so they can provide specific guidance based on your health profile and the type of medications you take.
At the South Florida Center for Cosmetic Surgery, our Tracheal Shave procedure is performed by a team of experienced plastic surgeons, including Dr. John Pinnella who is known for his meticulous technique and commitment to delivering natural, balanced results.
Dr. Pinnella brings a refined approach to Tracheal Shave, focusing on enhancing each patient’s natural shape while restoring balanced proportions and body confidence.
Our team performs Tracheal Shave surgeries at our modern Fort Lauderdale facility, serving patients locally from Miami, Boca Raton, and Palm Beach, as well as clients who travel from across the U.S. and internationally seeking high-quality aesthetic care in South Florida.