

Gender-Affirming Care
Tracheal shave
Reduction of the thyroid cartilage to soften the prominence of the Adam's apple for a smoother neck line.
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
- Minimum age: From 18 years
What it is
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.
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.
Who it suits
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.
Why Skulpturkliniken
Gender-affirming surgery by Dr. Matteo Amoroso
Gender-affirming surgery at Skulpturkliniken is performed by Dr. Matteo Amoroso, a specialist plastic and reconstructive surgeon. His reconstructive microsurgical background gives him a detailed command of anatomy, blood supply, and tissue handling, which supports safe, refined, and individualized results. Care is delivered with discretion and respect throughout.
Natural, balanced results
The aim is a result that reflects how you see yourself, planned around your anatomy and goals rather than a single template. Dr. Amoroso plans with restraint and precision so the outcome looks natural and balanced and feels like you.
Reconstructive precision meets aesthetic judgment
Choosing a surgeon is personal, and the relationship should rest on open communication and trust. From the first consultation, Dr. Amoroso helps you understand what is realistic, which approach suits you, and how timing fits into your wider care. Eligibility and timing are assessed individually and in line with recognized standards of care.
Individualized assessment
Every procedure begins with a detailed and respectful assessment. We evaluate:
Your goals and how you wish to be seen
Anatomy, tissue quality, and skin elasticity
General health, medication, and any hormone therapy
Readiness and timing within your wider care
Realistic expectations and recovery planning
What Does Surgery Cost?
The costs of treatments are listed in the price section and often don't change. However, the price depends on the extent of the procedure, the technique used, anesthesia, surgical time, and whether additional procedures are combined.
Every operation is individually planned, and the final price is discussed clearly during consultation after Dr. Matteo Amoroso has assessed your anatomy, goals, and surgical needs.
All surgical prices include one of the most extensive, transparent, and safe warranty programs. The price is designed to be comprehensive and includes everything related to the operation, from consultation and surgical planning to the procedure itself, compression garment when applicable, direct access to Dr. Matteo Amoroso and the medical team, and unlimited follow-up controls during the first year.
Safety and Trust
When considering surgery, price should not be the only factor.
Safety is central to every step of the surgical journey. At Skulpturkliniken, safety isn't a luxury, it's the foundation of everything we do. We have created an environment where accessibility, personal connection, and full transparency are not privileges, but standards. Your Surgeon will be your closest point of contact. We understand that aesthetic surgery is a personal journey, sometimes even life-changing. We have built a model where you don't just meet a surgeon, you build a trust-based, continuous relationship with him. From your first consultation to long after your recovery, your surgeon is personally available to you. You will never find yourself speaking to a call center or an automated message. Need guidance, reassurance, or a second opinion, we will be there not as a favor, but as a part of our philosophy.
Your Treatment Includes:
Choosing Skulpturkliniken means choosing a complete experience with no compromises.
Our pricing is fully transparent and published openly on our website, what you see is what you pay, with no hidden fees or additional charges.
- Extensive first consultation with Dr. Matteo Amoroso
- Eventual additional preoperative consultation with Dr. Matteo Amoroso
- Detailed assessment and individualized surgical planning
- 3D simulation
- Careful evaluation of whether surgery is the right option
- Preoperative preparation guidance
- Surgery in a safe and controlled surgical environment
- Anesthesia
- Compression garments
- Unlimited postoperative follow-up visits during the first year
- Direct access to the surgeon and nursing team
- Digital access to your medical records through Adoreal®
- Aesthetic care program
- Patient insurance through Folksam
- Long-term postoperative support
- One of the most extensive, transparent, and safe warranty programs.
Frequently asked questions
In their words
Patients trust Skulpturkliniken for care.
Trust The Adoreal Experience
The Adoreal Platform gives you complete control of your aesthetic journey. You will be guided throughout your entire process, from consultation to recovery, ensuring an exceptional experience for you as a patient.

You are in control
Complete access to your information, health records and previous journeys.

Unmatched predictability
Manage your expectations with our questionnaire Silhouette, and visualize your ideal outcomes with 3D simulation.

Trusted step-by-step guide
From bookings to payments, logistics and after care, Adoreal will be your companion.

Empowered safety measures
Complimentary health check, careful monitoring, and meticulous preparation.



