Who does the best trachea shave

[KayXo]

It's a bit concerning that your internal hair didn't fall off after 10 years... some people say that inside the vagina will turn in to mucosa after a while and hair will therefore won't stay there long... maybe estrogen cream will help to turn it into mucosa.

I take (and have taken) high doses of estrogen for years which affect the entire body including the vagina. Cream won't make a difference, I think.

As for the depth, did you have an enough donor material for the surgery?

He said I did. 4.5-5 inches is normal with Dr. Brassard, some surgeons like Suporn can achieve greater depth due to different technique (?).

[bunny girl]

The ONLY reason ANY surgeon would do a tracheal shave - -  by direct incision over the Adam's Apple - -  is because the surgeon is not trained how to do the procedure properly.  As a collateral consideration (because tracheal shaves are normally an integral part of  FFS surgery) that fact (alone) also suggests that the surgeon is likely not actually trained to do FFS surgery, of any kind.

The more I do my research, your statement has become less credible... no offense but would you care to explain why surgeons who do a tracheal shave directly over the adam's apple are not properly trained to do this procedure? Is this based on empirical study or findings or on what people say?

I've contacted many doctors (incl. ones certified by American Board of Plastic Surgery and members of American Society of Plastic Surgeons) who perform FFS on transgender patients, and more than a few told me that via submental approach is not adequate. So maybe it's just every doctor's preference as to which method they use regardless of their training. Some surgeons seem to prefer the incision under the chin for purely the cosmetic appearance.

Jeffrey Spiegel: from his website; "A small incision is placed on the upper crease of the neck or in a wrinkle in the skin."(actual email replies are all generic, though they take over a week to get back. secretaries/admin in his clinic must be dumb)
Facial Team: slow response. sent in pics for review. "An incision is made around 2 cm under the chin, if possible, hidden inside a crease below the submental (chin) area."
Bart van de Ven: haven't contacted because he charged 50EUR for an online quite
Greechart Pornsinsirisak: "The surgeon places a small horizontal incision along a natural skin fold in the neck to expose the tracheal cartilage then proceeds to shave down the tracheal convexity"
Brassard
Noorman van der Dussen: submental approach
Jordan Deschamps-Braly: "A small incision is made behind the first crease under the chin and leaves little visible or obvious scarring."
Mark Filstein: "not via submental" I'm reading between the lines "directly around the adam's apple"
Marc DuPere: "The incision for the tracheal shave is under the chin."
Robert Shenker: maybe doesn't do tracheal shave
Tom Pousti: maybe doesn't do tracheal shave
Alexander Sinclair
Joel Beck: "Creates a small incision beneath your chin or right above the Adam's apple."
Preecha: "A small, horizontal incision is made on the bottom of the Adam's apple."
Vartan Mardirossian: "Making a small incision at the upper crease of the neck, just below the chin."
Harrison Lee: "incision under the chin"

[keojampamd]

Incision should be between 1-2cm placed in a skin crease under the chin not directly over the adam's apple.    Most of the time, the incision heals great and almost invisible after healing.

Also, in my opinion, the safest and most complete way to reduce the prominent Adam's apple is to perform it with visualization of the vocal cords and its attachment to the thyroid cartilage.   Under general anesthesia and using a laryngeal mask airway, a bronchoscope is placed with visualization of the vocal folds and the surgeon once over the Adam's apple, marks with a needle the anterior commissure of the vocal folds.  All the cartilage above the vocal fold attachment can be safely removed.  Without this visualization with the bronchoscope, it is all guess work on how much you can remove.  Shaving or removing cartilage at or below the anterior commissure vocal fold attachment will cause hoarseness and destabilizes the voice box. 

[bunny girl]

Incision should be between 1-2cm placed in a skin crease under the chin not directly over the adam's apple.    Most of the time, the incision heals great and almost invisible after healing.

Also, in my opinion, the safest and most complete way to reduce the prominent Adam's apple is to perform it with visualization of the vocal cords and its attachment to the thyroid cartilage.   Under general anesthesia and using a laryngeal mask airway, a bronchoscope is placed with visualization of the vocal folds and the surgeon once over the Adam's apple, marks with a needle the anterior commissure of the vocal folds.  All the cartilage above the vocal fold attachment can be safely removed.  Without this visualization with the bronchoscope, it is all guess work on how much you can remove.  Shaving or removing cartilage at or below the anterior commissure vocal fold attachment will cause hoarseness and destabilizes the voice box.

I don't have a skin crease under the chin lol and wow, you seem so knowledgeable about medical equipments!
I did extensive research on surgeons worldwide about this procedure and came to a conclusion that even board certified ones sometimes place the incision right over the adam's apple, saying that that's the most effective way
Also I realized that it would be cost efficient to have this surgery with SRS, FFS or BA because a standalone procedure doesn't justify the cost of anesthesia in my opinion. (breakdown of Facial Team cost for example, 2,350EUR for the surgery and related expenses + general anesthesia 2,100EUR). Top of the price range today is US$7K vs $4.5K (Deschamps and Lee) a few years ago. Mid range is $4K.
Although I'm someone who tends to choose the most expensive option (if that means the best), right now I'm inclined to go with a Thai surgeon (Greechart) for this surgery. I've seen results of well-known surgeons and compare them to Greechart's but honestly couldn't see any difference. Also, patients of these well-known surgeons don't seem completely satisfied with their results, though they look fine to me. So far I only hear good things about Greechart's tracheal shave (incision in the neck away from adam's apple, inconspicuous scar and flat neck, not to mention it's only $1K) but please let me know if you hear disconcerting things about his tracheal shave. I read negative reviews about him but they were about BA and other surgeries. My second choice is either Facial Team or Noorman van der Dussen.

[bunny girl]

Has anyone seen results of Noorman van der Dussen and Facial Team (other than the one on their website) or underwent the surgery with either of them? No info on tracheal shave by Noorman is available online in English....

Actually I don't really care for Facial Team anymore. Their website/video are very misleading or rather spread misinformation about the procedure. For those of you thinking about tracheal shave as a standalone procedure under local anesthesia, even though their website says it can be done, they won't @ Facial Team.