Tracheal Shave

A tracheal shave, also called chondrolaryngoplasty, reduces the prominence of the thyroid cartilage, known as the Adam's apple, to create a smoother, softer neck contour. It is a focused procedure carried out through a small, discreetly placed incision.

Cartilage is reduced carefully and conservatively. The area near where the vocal cords attach is protected to safeguard the voice, so the reduction is planned to soften the prominence rather than remove cartilage aggressively.

What it can improve

• Prominence of the Adam's apple
• Smoothness of the front neck contour
• Profile of the neck in photographs and daily life
• Confidence in how the neck looks

It cannot change the voice and is not a voice procedure. It cannot remove all cartilage, since a conservative reduction protects the vocal cords.

Quick facts

• Procedure time: About 1 hour
• Anesthesia: General anesthesia or sedation
• Clinic stay: Same-day
• Recovery: Around 1 week before social activity
• Exercise: Strenuous activity from about 2–4 weeks
• Final result: Settles over 2–3 months as swelling resolves

Before the procedure

You will receive individualized instructions covering medication, supplements, smoking, alcohol, and fasting. The degree of reduction and incision placement are planned together, and realistic outcomes are explained.

During the procedure

Through a small incision, usually placed in a natural neck crease, the prominent part of the thyroid cartilage is reduced. The reduction is conservative and the region near the vocal cord attachment is preserved to protect the voice.

After the procedure

Mild swelling and bruising are normal and settle within weeks. Talking is usually comfortable soon after, though strain is avoided early. The neck contour continues to settle over a few months.

Results: what it can and cannot achieve

A smoother, softer front neck contour is achievable. The procedure cannot change the voice and conservative technique means a balance is struck between reduction and protecting the vocal cords. Your surgeon explains the realistic degree of change.

Possible risks and complications

A tracheal shave is generally safe in experienced hands, but all surgery carries risks. Possible risks include:

• Bruising, swelling, or temporary discomfort when swallowing
• Temporary voice changes, which usually settle
• Rare lasting voice change if cartilage near the vocal cords is affected
• Visible scar, though placed in a natural crease
• Asymmetry or residual prominence
• Bleeding or infection

Smoking and impaired circulation raise the risk of healing problems and wound complications, so honest assessment and smoking cessation are essential.

A tracheal shave may suit individuals who wish to soften the prominence of the Adam's apple. It is especially suitable for those who:

• Are bothered by a prominent Adam's apple
• Want a smoother front neck contour
• Are in good general health with realistic expectations
• Understand the voice is protected by conservative reduction
• Do not smoke or can stop before and after surgery

It may not suit those seeking voice change, which is a separate field, or those with health factors that increase surgical risk. Suitability is assessed individually.

Gender-affirming surgery by Dr. Matteo Amoroso

Gender-affirming surgery at Skulpturkliniken is performed by Dr. Matteo Amoroso, a specialist plastic and reconstructive surgeon experienced in both masculinizing and feminizing procedures (MTF and FTM).

Individually tailored, respectful results

Dr. Amoroso plans every procedure around your anatomy and goals, with respect for the fact that gender-affirming care is deeply personal. The aim is a result that feels like you.

Reconstructive precision meets aesthetic judgment

From the first consultation, Dr. Amoroso helps you understand what is realistic, and how the procedure fits into your broader care, with particular care for vocal cord function.

Individualized assessment

Every procedure begins with a thorough, respectful assessment. We evaluate:

• The size and shape of the thyroid cartilage
• Whether the procedure best suits alone or combined with other surgery
• General health and healing factors
• Your broader gender-affirming care plan
• Your goals and realistic expectations

Safety, precision, and long-term care

Safety is central to every step of the surgical journey. Your treatment includes:

1. ✓ Specialist consultation with Dr. Matteo Amoroso
2. ✓ Detailed assessment and individualized surgical planning
3. ✓ Careful evaluation of whether surgery is the right option
4. ✓ Preoperative preparation guidance
5. ✓ Surgery in a safe and controlled surgical environment
6. ✓ Scheduled postoperative follow-up visits
7. ✓ Direct access to the surgeon and nursing team
8. ✓ Digital medical records through Adoreal®
9. ✓ Patient insurance through Folksam
10. ✓ Long-term postoperative support