At Tran Plastic Surgery, we specialize in advanced surgical procedures that help patients achieve their authentic selves. A tracheal shave also known as Adam’s apple reduction, chondrolaryngoplasty, or thyroid cartilage reduction is a transformative procedure designed to reduce the prominence of the Adam’s apple, creating a smoother, more feminine or gender-neutral neckline.
For many transgender women and non-binary individuals, a visible Adam’s apple can be one of the most noticeable gendered features. By refining the contour of the throat, this procedure can significantly enhance confidence, align appearance with identity, and complete the goals of gender confirmation surgery.

What Is Tracheal Shave Surgery?
Tracheal shave surgery is a cosmetic procedure that reduces the size of the thyroid cartilage—commonly known as the Adam’s apple. This cartilage sits at the front of the neck and is typically more prominent in men. Through precise surgical techniques, we carefully shave down the cartilage to create a flatter, more feminine neck contour while preserving vocal cord function.
Key benefits of tracheal shave surgery:
- Creates a smoother, more feminine neck profile
- Minimally invasive with hidden incision
- Permanent results
- Preserves vocal function
- Quick recovery time

The Tracheal Shave Procedure
A tracheal shave is typically performed as an outpatient procedure under general anesthesia. The entire surgery usually takes 30 minutes to 1 hour if performed alone. Many patients choose to combine it with other procedures for comprehensive results.
Step-by-Step Overview:
- Anesthesia – Patients are safely put under general anesthesia for comfort.
- Incision – A small, discreet incision is made in a natural skin crease at the base of the neck.
- Visualization – Dr. Tran may use an endoscope to visualize the cartilage and surrounding structures for added precision.
- Cartilage Reduction – The thyroid cartilage (Adam’s apple) is carefully shaved down, reducing its projection while protecting the vocal cords.
- Closure – The incision is sutured closed, leaving a fine scar that typically becomes nearly invisible over time.
Recovery and Healing
Every patient’s recovery timeline is unique, but most can expect:
- Initial Recovery: Mild swelling, soreness, and bruising for the first several days.
- Voice Rest: Temporary voice weakness or hoarseness may occur as tissues heal. Patients are advised to avoid singing or yelling.
- Downtime: Most patients return to light activities within 2–3 days and resume normal routines within a week.
- Follow-up: A post-operative visit is scheduled within 5–7 days to monitor healing and remove sutures if necessary.
Frequently Asked Questions
Is tracheal shave surgery permanent?
Yes, tracheal shave surgery provides permanent results. Once the thyroid cartilage is reduced, it does not grow back.
Will tracheal shave surgery affect my voice?
When performed by experienced surgeons, tracheal shave surgery should not affect your voice. We take special care to preserve the vocal cords and surrounding structures.
How much does tracheal shave surgery cost in Huntington Beach?
The cost varies based on individual needs. During your consultation, we’ll provide a detailed quote including surgeon fees, facility costs, and anesthesia.
What are the risks of tracheal shave surgery?
As with any surgery, risks include infection, bleeding, scarring, and changes in voice. Our experienced surgeons minimize these risks through careful technique and thorough pre-operative planning.
How soon can I return to work after tracheal shave surgery?
Most patients return to desk work within 7-10 days. Jobs requiring physical activity may require 2-3 weeks of recovery time.
About Dr. Tuan Tran
Dr. Tuan Tran brings extensive experience in gender-affirming surgery, a meticulous surgical technique, and a compassionate approach to care. As a board-certified surgeon with years of experience in transgender and reconstructive surgery, Dr. Tran is known for his artistic eye and surgical precision. The incision is carefully hidden in a natural neck crease, minimizing visible scarring. From consultation through recovery, every step is personalized to your unique goals and health needs.
Insurance & Cost
In California, many insurance providers including CalOptima cover tracheal shave surgery as part of gender-affirming surgery. Coverage depends on your policy, medical necessity, and whether the procedure is part of a larger transition plan. Our office will help you navigate insurance approval and provide transparent cost estimates if you are paying out of pocket.
Locations We Serve
Main Location: Huntington Beach, CA
We proudly serve patients throughout Orange County and surrounding areas, including:
- Newport Beach
- Fountain Valley
- Westminster
- Garden Grove
- Costa Mesa
- Seal Beach
- And all of Orange County
Contact Us
Ready to achieve the neck contour you’ve always wanted? Contact TranPlastic today to schedule your consultation.
Phone: 714-839-8000
Contact Page: Tran Plastic Surgery Contact Page
Our team in Huntington Beach, CA is here to guide you through every step of the journey.