This 30 yo had been living as a female for many years. She had a trach shave 8 years ago without complications. She passes for female on the phone about 70% of the time, but when fatigued or if she speaks loudly her voice becomes more masculine.
She is 57 years old and had a thyrohyoid elevation 4 years ago with some change in her resonance. She wanted to try a minimally invasive procedure to try and improve her feminine voice.
