I went to a regular reconstructive plastic surgeon and had the trachea shave and a nose job at the same time. A reconstructive plastic surgeon has a higher skill level but may charge a bit more as well. Mine favored leaving just a little bit in order to ensure he didn't damage the larynx and alter the voice. I did get rid of that boat keel and while the shave was what I wanted most, I like the nose far better. By the way, there is a very faint scar that people don't notice unless I point it out. If it bothers you, makeup would have little trouble covering it. If you have any more questions I can answer, let me know.