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Vocal Masculinization Care In Los Angeles, CA

Vocal Masculinization Surgery in Los Angeles, CA

Your Voice, Your Identity

Vocal Masculinization Care at Gender Affirming Care Center

For individuals seeking a deeper, more masculine voice, specialty voice care is a critical aspect of overall health care. This treatment option is important for many transgender men, non-binary individuals, and individuals within the gender-diverse community seeking to align their voice with their true gender identity. Additionally, some cisgender individuals may require this type of vocal care to address gender affirming aspects about their voice. Here at the Gender Affirming Care Center in Los Angeles, we provide individualized treatment plans for Vocal Masculinization Care, including both surgical and non-surgical options, performed by experienced and compassionate providers. Our team specializes in gender-affirming care, delivering transformative results in a safe and welcoming environment. Our voice care providers are trained to handle both preventive care and chronic vocal health management, ensuring that everyone receives a tailored supportive plan that respects their unique health needs.

Reclaim Your Voice

What are the options available Vocal Masculinization Care?

Gender masculinization voice care includes three primary treatment options: voice therapy under the direct supervision of licensed and experienced speech-language pathologist, direct vocal cord testosterone injections, and Type III thyroplasty surgery. Each approach offers distinct benefits and addresses various aspects of voice deepening to align with gender identity.

Vocal masculinization surgery is a gender-affirming procedure that can help align your voice with your identity. This surgery involves modifying your vocal cords to create a deeper, more resonant sound. Unlike hormone therapy, this is a permanent change, which can only partially deepen your voice. If you're looking for a lasting solution that truly reflects who you are, this could be an option for you. It's a popular choice for transgender men and non-binary individuals seeking a voice that matches their true selves.

Vocal masculinization surgery is a cornerstone of gender-affirming care, and we understand that each person's voice is unique. That's why our providers take the time to understand your specific needs and goals to create a personalized plan that works for you. Our team uses advanced surgical techniques to ensure safe and effective results that stand the test of time.

Voice Therapy provided with licensed and experienced Speech-Language Pathologist (SLP):

Voice therapy is often the first step in gender-affirming voice masculinization. This non-invasive option focuses on developing vocal techniques to create a lower pitch and more traditionally masculine vocal characteristics. Therapy often involves exercises to modify resonance, speech patterns, and intonation. Beyond pitch, these sessions address communication aspects such as speech rate and word choice, which influence gender perception. SLPs use tools like acoustic analysis and stroboscopy to tailor treatment plans to individual needs. For some individuals, voice therapy alone is sufficient to achieve their goals. It is commonly covered by insurance and may be combined with other interventions if desired results are not achieved through therapy alone.

FAQ’s

Voice therapy focuses on exercises to adjust pitch, modify resonance, and create gender affirming speech patterns, such as slower speech rate and adjusted inflection. Sessions are personalized and may include acoustic analysis to measure progress.

Most programs require 8–12 sessions, with weekly or biweekly appointments. Progress depends on the individual’s goals and ability to practice daily.

No. Therapy is non-invasive and typically does not cause discomfort. However, individuals may experience mild vocal fatigue during initial practice sessions.

Many insurance plans cover voice therapy for gender affirmation, but pre-authorization may be needed.

Voice therapy can significantly improve voice alignment with gender, but additional options, such as vocal cord surgery, are available if results are unsatisfactory.

Daily practice (15–30 minutes) is often recommended to reinforce techniques learned during therapy sessions.

Yes, the effects of therapy can provide lasting results once the techniques are ingrained as the new natural method of voicing.

Yes. Our experienced SLP team can tailor therapy to include techniques for singing or professional speaking if requested.

Most insurance policies require a physician referral for voice therapy.

Vocal Masculinization Surgery in Los Angeles, CA

Directed Vocal Cord Injections of Testosterone Hormone:

While testosterone hormone therapy is a common step in masculinization and naturally deepens the voice for many trans men and individuals within the gender diverse community seeking less feminine voice quality, targeted injections into the vocal cords. This new and critical treatment option has been shown to amplify these effects in cases where voice pitch remains higher than desired. These procedures are performed in the office without the need for anesthesia and often are completed in just a few minutes. While outcomes can vary and repeated injections are needed, long-term success allowing for maintaining the gender affirming pitch can be gained without surgery.

FAQ’s

Injections aim to cause a thickening of the vocal cords, lowering the voice pitch. This can supplement body-wide (or systemic) testosterone therapy for individuals who do not achieve the expected gender affirming change in voice.

The effects vary however in many patients we are seeing a permanent thickening of the vocal cords and gender affirming voice adjustment.

Very thin needles are used for this injection which minimizes discomfort. Some individuals may experience mild soreness in the throat for a day or two, but this is not expected.

The procedure usually takes 5-10 minutes and is performed in our offices.

Coverage varies widely, but it is our priority to ensure insurance coverage whenever possible.

The main risk is that the testosterone hormone delivery to the vocal cords stil are unable to produce the desired effects. Additional risks include temporary hoarseness, uneven voice quality, or rare allergic reactions to the filler material swallowing difficulty.

The protocol requires 4 sessions which are spaced over 6 weeks.

Yes. Vocal cord injections are often paired with testosterone therapy or voice therapy for optimal results.

Type III Thyroplasty Surgery (Open Laryngeal Framework Surgery):

Type III thyroplasty is a surgical option for those seeking a permanent voice-deepening gender affirming solution. During this procedure, Dr. Mendelsohn cuts small sections of thyroid cartilage and repositions the cartilage. This causes a reduction in the tension of the vocal cords which lowers the pitch of a voice. The operation typically takes one hour performed under local anesthesia to allow real-time monitoring of vocal changes. Post-surgery, individuals may experience a drop in pitch more than 50 Hz, resulting in a voice perceived as more masculine. However, the surgery carries risks, including reduction in volume and power of the voice and potential hoarseness, reduced vocal range, and irreversible changes to vocal quality. Recovery may take several weeks to months, during which vocal rest is essential. Thyroplasty is typically pursued when other methods, such as voice therapy and hormone injections, have not produced satisfactory results.

FAQ’s

It is a surgical procedure to lower voice pitch by reducing tension in the vocal cords. The surgery involves removing part of the thyroid cartilage.

Pitch typically decreases by at least 50 Hz, aligning more closely with gender identity, with socially recognized masculine pitch ranges between 95–160 Hz.

The procedure is performed under general anesthesia, so no pain is felt during surgery. Moderate soreness at the incision site may occur during recovery for about 5 days.

Recovery involves no strict vocal rest, but limited voice use is recommended for 1–2 weeks, followed by a gradual return to speaking. Full healing and final voice changes may take up to 3 months.

Risks include reduced vocal power and volume, hoarseness, reduced vocal range, and irreversible voice quality changes. It is essential to thoroughly discuss risks expectations during consultation.

No, the structural changes are permanent. This underscores the importance of thorough consultation and goal setting before surgery.

Coverage varies widely, but it is our priority to ensure insurance coverage for your surgery when possible.

The procedure typically takes 1 hour and is performed as an outpatient surgery.

Singing and professional voice use may be affected due to changes in vocal range and resonance. It is essential to thoroughly discuss risks expectations during consultation.

Individuals who have not achieved their desired pitch through testosterone or voice therapy and understand the permanent nature of the surgery are good candidates.

Each method has its unique considerations, and combining treatments can often provide the most comprehensive results. Consulting with both a speech-language pathologist and a laryngologist is critical to developing an individualized care plan tailored to one’s goals and anatomy

Beyond Sound

Vocal Masculinization Care Benefits

These treatment options including both surgical and non-surgical strategies provide a range of physical and emotional benefits, improving both the patient’s quality of life and confidence.

  • Physical Benefits:
    • Deeper and more masculine perceived voice
    • Permanent results
    • Targeted vocal resonance
  • Emotional Benefits:
    • Reduction in gender dysphoria, when applicable
    • Increased confidence in social and professional interactions
    • Enhanced alignment with the person’s true gender
  • Social Benefits:
    • Greater ease in expressing thoughts and feelings
    • Improved comfort in public spaces
    • Enhanced professional productivity

This treatment care strategy has been shown to significantly improve overall well-being by addressing a patient's voice's physical and emotional aspects.

Vocal Masculinization Surgery in Los Angeles, CA

Is This Your Moment?

Vocal Masculinization Surgery Candidates: Gender Diverse Patients

Vocal masculinization surgery is ideal for gender-diverse individuals, including those transitioning from female to male, those who identify as non-binary, as well as many other gender-diverse patients who wish to deepen their voices as an accurate reflection of themselves. Candidates often experience gender dysphoria related to the pitch or resonance of their voice, particularly if hormone therapy or voice training has not achieved their desired vocal depth. Good candidates are generally in good health, have realistic expectations for the outcome, and are prepared to follow the necessary recovery protocols. Contraindications may include active throat infections, unresolved medical issues involving the vocal cords, or severe health conditions that could increase surgical risks. During the consultation, our providers evaluate your medical history, vocal health, and personal goals to determine whether this surgery is right for you.

How do I prepare for Vocal Masculinization Care?

Consultation and Preparation

The preparation for vocal masculinization care begins with a thorough consultation. During this process, our team reviews your medical and surgical history, evaluates the current state of your vocal cords, and discusses your goals for the voice. A personalized surgical plan is developed, which includes a detailed treatment plan tailored to your needs. Planning for treatment time, and possibly recovery time, is essential.

The Art and Science

How is Vocal Masculinization Surgery performed?

Procedure

The procedure for vocal masculinization surgery is performed under general anesthesia to ensure patient comfort. A neck skin incision is required for this specific vocal surgery. Once the structure, or skeleton, for the vocal cords is accessed, the Dr. Mendelsohn will shorten the distance of the voice box by cutting the cartilage and carefully displacing the cartilage to achieve the desired outcome. Special care is taken to preserve vocal function while achieving the desired pitch adjustment results. The procedure generally lasts one hour and is completed as an outpatient surgery, allowing patients to return home the same day. By using advanced techniques, the providers at the Gender Affirming Care Center prioritize safety and optimal results for every patient.

Vocal Masculinization Surgery in Los Angeles, CA

New Sound, New Confidence

Results, Recovery, and Aftercare

Results

  • Most patients notice a significant deepening of their voice immediately after the surgery, although the final results continue to refine as swelling subsides over the next several weeks. The outcome is permanent, ensuring a lasting solution to vocal dysphoria.

Recovery

  • The recovery process typically spans one to two weeks. During the initial week, complete voice rest is essential to allow the vocal cords to heal properly. Patients are advised to avoid strenuous activities, heavy lifting, and whispering during this time, as these actions can strain the vocal cords. Gradual use of the voice is introduced under the guidance of Dr. Mendelsohn or their established speech language pathologist (SLP).

Aftercare

  • Post-operative care includes following all instructions for medications and voice rest. Attending follow-up appointments ensures that healing is progressing as expected and that results are optimized. A supportive environment is recommended during recovery to facilitate healing and adjustment to the newly deepened voice. Long-term success is achieved through adherence to the aftercare plan and voice rehabilitation.

Why choose a Vocal Masculinization Surgery with Dr. Abie Mendelsohn?

Dr. Abie Mendelsohn, a board-certified voice surgeon specializing in gender-affirming care, is recognized for his meticulous surgical technique and compassionate patient care. At the Gender Affirming Care Center, patients benefit from a supportive and welcoming environment, state-of-the-art surgical technology, and personalized treatment plans tailored to individual goals. Dr. Mendelsohn’s expertise has earned him recognition throughout the Los Angeles region as a leader in transgender health care. His dedication to delivering safe and transformative results has made the center a trusted choice for vocal masculinization care.

Schedule Your Los Angeles Vocal Masculinization Care Consultation

At Gender Affirming Care Center Today

Take the next step toward achieving your desired voice by scheduling a consultation with the Gender Affirming Care Center in Los Angeles. Contact us at 323.306.9636 or complete our online form to begin your journey to greater confidence and self-alignment.

Vocal Masculinization Surgery Frequently Asked Questions

Yes, this surgery permanently deepens the voice by altering the structure surrounding the vocal cords, providing significant and lasting results.

When performed by an experienced surgeon like Dr. Mendelsohn, the procedure is considered safe with minimal risks.

Testosterone can deepen the voice of the majority of individuals who require this treatment option, but it may not achieve the desired pitch or resonance for everyone. Surgery offers a more definitive solution. Additionally, many individuals who either do not need or cannot receive testosterone therapy may have the need for specialized vocal care.

Recovery typically requires one to two weeks of rest, with some voice rest during the first week. Gradual voice use follows under medical guidance.

The cost varies based on individual needs and whether insurance covers the procedure. It is our priority to achieve insurance authorization whenever possible. Contact our office for detailed pricing information.

The surgery typically takes one hour and is completed as an outpatient procedure.

Your voice may continue to settle and refine for several weeks as healing progresses, but the pitch will remain permanently deeper.

Absolutely. Vocal masculinization surgery is designed to meet the needs of anyone seeking a deeper voice, regardless of gender identity. It is not uncommon for vocal masculinization care to be sought after by men who were assigned male at birth.

Absolutely. Both voice therapy and directed vocal cord hormone therapy are non-surgical options, and in many cases can achieve results as well as surgery is able.

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Overall, tracheal shave surgery can be an effective way to achieve a more aesthetically pleasing neck contour, and with the technique used at Los Angeles Center for Ear Nose Throat and Allergy, patients can achieve their desired outcome without any visible scarring in a welcome and supportive environment. If you are a transgender individual seeking transoral tracheal shave surgery or other medical services, we welcome you to schedule a consultation with one of our doctors. We are committed to providing the highest quality care in a safe and supportive environment, and we look forward to helping you achieve your healthcare goals.

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