Jenny who was the first posting about VFS at Yeson here had IIRC a trach shave before the VFS. Dr Kim then did a bit more shortening of the vocal folds to compensate for that. AFAIK Dr Kim does trach shave himself if you ask him, he would then do it in a way tha tis more careful and with the VFS in mind. It may not be as agressive as it would be without the VFS in mind, I guess.
Another option is to ask at the FFS specialists at Facial Team - they communicate with Dr Kim and apparently have good connections to him when it comes to taking care of using intubation for anaesthesia that does not hurt a larynx changed by VFS before and I think I heard that they also can do a trach shave that is compatible, but you would really have to ask them yourself. I can just say what I heard from others as I did not need a trach shave yet.
