Scarless chondrolaryngoplasty combined with a surgical reshaping of the lower face through a single transoral approach for transgender patients.

Abstract

Background: Chondrolaryngoplasty, one of the most visible gender affirmation surgeries, is traditionally performed through a cervical approach, leaving a residual visible cervical scar.

Method: We proposed a scarless technique for chondrolaryngoplasty done through a transoral incision used for concomitant genioplasty and gonioplasty, with satisfying results on the first 15 patients.

Conclusion: The combination of these interventions through a single transoral incision was safe and feasible, helping transgender male-to-female patients reduce the number of interventions needed. It avoided a visible cervical scar that can constitute a constant reminder of the transition process.