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External incision or scarless - which tracheal shave method is safest?

trans4mation4me
I am currently considering tracheal shave. My concern is, however, the potential for damaging my vocal cords. I have a naturally feminine cis, gendered voice, and I want to make sure that I preserve it. I have consulted with doctors, some do the scarless method and others do the external incision. All tout their method to be the safest and the gold standard so I am not sure who to believe. I know it all comes down to surgeon skills, but objectively and medically speaking, which is safest?!

Answers (3)

From board-certified doctors and trusted medical professionals
Jacob Tower, MD profile photo
Dr. Jacob Tower, MD
Answered on Apr 28, 2025
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Dr. Jacob Tower, MD
Board Certified Plastic Surgeon
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Toby Mayer, MD profile photo
Dr. Toby Mayer, MD
Answered on Sep 20, 2024
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Dr. Toby Mayer, MD
Board Certified Plastic Surgeon
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Stephen Kleid, MBBS, FRACS profile photo
Dr. Stephen Kleid, MBBS, FRACS
Answered on Sep 20, 2024
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Dr. Stephen Kleid, MBBS, FRACS
Board Certified Plastic Surgeon
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