{"key":"op_910_TH","page":{"url":"https://ua.bookimed.com/clinics/country=thailand/procedure=tracheal-shave/","procedure":{"id":910,"slug":"tracheal-shave","name":"Зменшення кадика","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"surgery","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"plastic-surgery","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":45,"iso":"TH","name":"Таїланд"},"currency":"USD","data_date":"2026-11-06"},"pages":{"clinics_url":"https://ua.bookimed.com/clinics/country=thailand/procedure=tracheal-shave/","cost_url":"https://ua.bookimed.com/clinics/country=thailand/procedure=tracheal-shave/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":800,"to":1500,"avg":{"value":1500,"method":"median","source":"clinics"},"us":{"from":4000,"to":8000},"uk":{"from":4200,"to":6500},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Бангкок","from":800},{"city":"Чіангмай","from":800},{"city":"Пхукет","from":800},{"city":"Паттайя","from":800}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":1000,"to":2200},{"country_iso":"FR","from":2800,"to":4500},{"country_iso":"GB","from":4200,"to":6500},{"country_iso":"US","from":4000,"to":8000},{"country_iso":"IL","from":3500,"to":5200},{"country_iso":"TR","from":2700,"to":3200},{"country_iso":"MX","from":2100,"to":3300},{"country_iso":"DE","from":3200,"to":5400},{"country_iso":"CA","from":3800,"to":6000},{"country_iso":"AE","from":2800,"to":4600},{"country_iso":"PL","from":1500,"to":2600},{"country_iso":"KR","from":2800,"to":4300},{"country_iso":"CZ","from":1500,"to":2800},{"country_iso":"AT","from":3300,"to":5100},{"country_iso":"ES","from":2600,"to":4200},{"country_iso":"IT","from":2800,"to":4500},{"country_iso":"CN","from":2200,"to":4500},{"country_iso":"AU","from":4200,"to":7000},{"country_iso":"IN","from":1800,"to":3000},{"country_iso":"MY","from":2200,"to":3600},{"country_iso":"VN","from":1100,"to":2200},{"country_iso":"BR","from":2300,"to":3800}],"base_country":"US","base_is_fallback":false},"savings":{"pct":80,"variant":">=15%"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":10,"items":[{"id":5983,"name":"Wansiri Hospital","city":"Bangkok","rating":4.5,"reviews_count":32,"accreditations":["Royal College of Surgeons Thailand"],"rank":1,"has_procedure":true,"why_ranked":"Offers Tracheal Shave under local anesthesia with post-operative care. Doctors have performed 900+ procedures and the clinic reports 99% success rates for related surgeries.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":3410,"name":"Asia Cosmetic Hospital","city":"Bangkok","rating":4,"reviews_count":23,"accreditations":["Given to the doctor International Society of Aesthetic Plastic Surgery (ISAPS) Сertificate","Royal College of Surgeons Thailand","The Institute of Hospital Quality Improvement and Accreditation","International Society for Aesthetic Plastic Surgery","Joint Commission International","International Organization for Standardization"],"rank":2,"has_procedure":true,"why_ranked":"JCI-accredited hospital with a reported 0% complication rate. Includes comprehensive pre-op assessments and 6 months of follow-up. Surgeons perform under anesthesiologist supervision.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":7326,"name":"Somchai Clinic","city":"Bangkok","rating":4,"reviews_count":1,"accreditations":{"status":"missing","reason":"not_collected"},"rank":3,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":9900,"name":"W Plastic Surgery Hospital","city":"Bangkok","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["Given to the doctor International Society of Aesthetic Plastic Surgery (ISAPS) Сertificate"],"rank":4,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":474,"name":"B.Care Medical Center","city":"Bangkok","rating":4.9,"reviews_count":15,"accreditations":{"status":"missing","reason":"not_collected"},"rank":5,"has_procedure":true,"why_ranked":"Specializes in reducing laryngeal prominence while avoiding vocal cord trauma. Offers 70,000 THB package for standard cases with 1-night hospital stay included.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":8625,"name":"Interplast Clinic","city":"Bangkok","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["Given to the doctor International Society of Aesthetic Plastic Surgery (ISAPS) Сertificate","American Society of Plastic Surgeons"],"rank":6,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":511,"name":"Nirunda","city":"Bangkok","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["Dental Association of Thailand"],"rank":7,"has_procedure":true,"why_ranked":"Offers Tracheal Shave at $1,200, significantly lower than many international clinics. Team includes board-certified plastic surgeons experienced in aesthetic procedures.","bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":608,"name":"Dr. V Plastic Surgery","city":"Bangkok","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["International Society for Aesthetic Plastic Surgery","Royal College of Surgeons Thailand"],"rank":8,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":609,"name":"Phuket Plastic Surgery Institute (PPSI)","city":"Bangkok","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["Given to the doctor International Society of Aesthetic Plastic Surgery (ISAPS) Сertificate","Joint Commission International"],"rank":9,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":717,"name":"Bangpakok 9 International Hospital","city":"Bangkok","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["Joint Commission International","The Institute of Hospital Quality Improvement and Accreditation"],"rank":10,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":6,"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":75,"slug":"bangkok","name":"Бангкок","clinics_count":8,"price_from":800,"profile":{"city_type":"Capital and largest city of Thailand","access":["Suvarnabhumi Airport (BKK), 25 km from downtown Bangkok","Don Mueang Airport (DMK), 23 km from the Grand Palace"],"sources":["https://en.wikipedia.org/wiki/Bangkok","https://en.wikipedia.org/wiki/Suvarnabhumi_Airport","https://www.worldtravelguide.net/guides/asia/thailand/bangkok/bangkok-don-mueang-international-airport/"],"checked_at":"2026-11-03","status":"ok"}},{"id":420,"slug":"chiang-mai","name":"Чіангмай","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":800,"profile":{"city_type":"Largest city in northern Thailand","access":["Chiang Mai Airport (CNX), 4 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Chiang_Mai","https://www.worldtravelguide.net/guides/asia/thailand/chiang-mai/chiang-mai-international-airport/"],"checked_at":"2026-11-03","status":"ok"}},{"id":362,"slug":"phuket","name":"Пхукет","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":800,"profile":{"city_type":"Island city, capital of Phuket province","access":["Phuket Airport (HKT), 32 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Phuket_City","https://en.wikipedia.org/wiki/Phuket_International_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":367,"slug":"pattaya","name":"Паттайя","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":800,"profile":{"city_type":"City in Eastern Thailand, Chonburi province","access":["U-Tapao Airport (UTP), 50 km from Pattaya's Walking Street","Suvarnabhumi Airport (BKK), 120 km from Pattaya by road"],"sources":["https://en.wikipedia.org/wiki/Pattaya","https://en.wikipedia.org/wiki/U-Tapao_International_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Prominent thyroid cartilage (Adam's apple) causing aesthetic concern","Gender dysphoria with prominent thyroid cartilage, in gender-affirming surgery"],"contraindications":["Unfitness for general anesthesia","Active infection in the neck","Untreated body dysmorphic disorder","Significant bleeding disorder or uncontrolled anticoagulation","Pre-existing laryngeal or voice disorders requiring prior evaluation (relative)","Pregnancy (elective surgery usually deferred)"],"operation_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Operative time for standalone tracheal shave."},"anesthesia":["general"],"sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Chondrolaryngoplasty (thyroid cartilage reduction)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"Standalone single-stage procedure."},"hospital_nights":{"value":{"min":0,"max":0,"unit":"nights","qualifier":"Usually same-day discharge."},"source":"parsed_details"},"treatment_conditions":["day_case"],"rehabilitation_days":{"min":5,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; no formal rehabilitation program."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After wound check and suture removal; earlier short-haul flights only with surgeon clearance."},"back_to_work_days":{"min":5,"max":10,"unit":"days","qualifier":"Typical for desk-based work after uncomplicated chondrolaryngoplasty; voice rest and swelling may affect return."},"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity earlier; strenuous exercise after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling and neck contour settle over this period; final shape may take longer."},"result_longevity":"Cartilage removal is generally permanent; the contour is expected to remain stable long term.","main_risks":["Voice change, hoarseness or reduced pitch range","Vocal cord injury from excess cartilage removal","Bleeding or hematoma","Infection","Visible scar or asymmetric or residual prominence","Swallowing discomfort or transient neck numbness","Risks of general anesthesia"],"complication_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Any complication within 90 days, mostly minor (transient voice change, hematoma, numbness, scar); serious under 1%."},"revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Revision for residual prominence, asymmetry or scar, within 1-2 years."},"success":{"metric":"Patient satisfaction with reduced Adam's apple prominence","value":90,"horizon":"3 months","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Small horizontal scar, usually 2-4 cm, placed in a natural neck skin crease or under the chin; typically fades over several months.","pain":"Mild to moderate throat and neck soreness for a few days, usually controlled with oral analgesics; swallowing may be uncomfortable initially.","preparation":["Surgical consultation and neck/laryngeal assessment, often including laryngoscopy","Review of medical history and medications with the surgeon","Fasting before general anesthesia per anesthesia team","Avoid smoking before and after surgery","Arrange for transport home and initial help"],"recovery_timeline":[{"phase":"Days 0-3","description":"Neck swelling, sore throat; dressing in place; voice rest advised.","restrictions":["Limit talking as advised","Keep head elevated","Avoid straining"]},{"phase":"Days 4-14","description":"Swelling and bruising subside; sutures removed; gradual return to normal activity.","restrictions":["Avoid heavy lifting and strenuous exercise","Protect incision from sun"]},{"phase":"Weeks 2-12","description":"Residual swelling resolves, scar matures, voice stabilizes.","restrictions":["Resume strenuous exercise after surgeon clearance"]}],"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"Early postoperative check, often with suture removal if non-absorbable sutures used."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Review of contour and voice."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the surgeon is fully trained in the specific procedure","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"It can be difficult to find out if a surgeon is fully trained in the procedure you want.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask the surgeon to show before and after pictures of their work","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm you will have two consultations with the operating surgeon before surgery","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that you have been able to ask the team your questions","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check how your aftercare will be coordinated before you book","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Ask how many similar procedures the surgeon has performed","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"how many procedures like the one you're having they have done","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Cosmetic surgery offered as part of a holiday package is a warning sign","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Be cautious of websites selling cosmetic surgery as part of a holiday.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Meetings only with sales staff, with no consultation with the surgeon, is a warning sign","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"make sure you have a consultation with the surgeon (avoid meetings only with sales people)","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"A hard sell or pressure to make a quick decision is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The surgeon does not explain the procedure’s risks or complications","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"- what the procedure involves - the limitations of a procedure - what alternative procedures there are - any risks or complications","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"The provider cannot explain what happens if complications occur or where follow-up appointments will be","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"- what happens if there are complications - where follow-up appointments will be","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Chest pain","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21574-facial-feminization-surgery","host":"my.clevelandclinic.org","quote":"Arrhythmia (abnormal heartbeats). Chest pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Shortness of breath","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21574-facial-feminization-surgery","host":"my.clevelandclinic.org","quote":"Arrhythmia (abnormal heartbeats). Chest pain . Shortness of breath","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Increased redness, pain, drainage or swelling","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21574-facial-feminization-surgery","host":"my.clevelandclinic.org","quote":"Symptoms of infection, including increased redness, pain, drainage or swelling.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs wound-care and equipment advice to continue postoperative care","document":"wound care advice","source":{"url":"https://www.nhs.uk/tests-and-treatments/having-surgery/afterwards/","host":"nhs.uk","quote":"You'll also be given advice about how to care for your wound, any equipment you may require, such as dressings, bandages, crutches and splints, and maybe painkillers.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"The home doctor needs the pain-relief information to continue medication care safely","document":"medication list","source":{"url":"https://www.nhs.uk/tests-and-treatments/having-surgery/afterwards/","host":"nhs.uk","quote":"You'll also be given advice about how to care for your wound, any equipment you may require, such as dressings, bandages, crutches and splints, and maybe painkillers.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":5,"max":10,"unit":"days","qualifier":"Typical for desk-based work after uncomplicated chondrolaryngoplasty; voice rest and swelling may affect return."},"complication_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Any complication within 90 days, mostly minor (transient voice change, hematoma, numbness, scar); serious under 1%."},"contraindications":["Unfitness for general anesthesia","Active infection in the neck","Untreated body dysmorphic disorder","Significant bleeding disorder or uncontrolled anticoagulation","Pre-existing laryngeal or voice disorders requiring prior evaluation (relative)","Pregnancy (elective surgery usually deferred)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Usually same-day discharge."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":2,"max":4,"unit":"weeks","qualifier":"Light activity earlier; strenuous exercise after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling and neck contour settle over this period; final shape may take longer."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After wound check and suture removal; earlier short-haul flights only with surgeon clearance."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"Early postoperative check, often with suture removal if non-absorbable sutures used."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":90,"unit":"days","qualifier":"Review of contour and voice."}}],"indications":["Prominent thyroid cartilage (Adam's apple) causing aesthetic concern","Gender dysphoria with prominent thyroid cartilage, in gender-affirming surgery"],"main_risks":["Voice change, hoarseness or reduced pitch range","Vocal cord injury from excess cartilage removal","Bleeding or hematoma","Infection","Visible scar or asymmetric or residual prominence","Swallowing discomfort or transient neck numbness","Risks of general anesthesia"],"pain":"Mild to moderate throat and neck soreness for a few days, usually controlled with oral analgesics; swallowing may be uncomfortable initially.","preparation":["Surgical consultation and neck/laryngeal assessment, often including laryngoscopy","Review of medical history and medications with the surgeon","Fasting before general anesthesia per anesthesia team","Avoid smoking before and after surgery","Arrange for transport home and initial help"],"recovery_timeline":[{"phase":"Days 0-3","description":"Neck swelling, sore throat; dressing in place; voice rest advised.","restrictions":["Limit talking as advised","Keep head elevated","Avoid straining"]},{"phase":"Days 4-14","description":"Swelling and bruising subside; sutures removed; gradual return to normal activity.","restrictions":["Avoid heavy lifting and strenuous exercise","Protect incision from sun"]},{"phase":"Weeks 2-12","description":"Residual swelling resolves, scar matures, voice stabilizes.","restrictions":["Resume strenuous exercise after surgeon clearance"]}],"rehabilitation_days":{"min":5,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; no formal rehabilitation program."},"result_longevity":"Cartilage removal is generally permanent; the contour is expected to remain stable long term.","revision_rate_pct":{"min":1,"max":5,"unit":"percent","qualifier":"Revision for residual prominence, asymmetry or scar, within 1-2 years."},"scars":"Small horizontal scar, usually 2-4 cm, placed in a natural neck skin crease or under the chin; typically fades over several months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Chondrolaryngoplasty (thyroid cartilage reduction)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"Standalone single-stage procedure."},"success":{"metric":"Patient satisfaction with reduced Adam's apple prominence","value":90,"unit":"percent satisfied","horizon":"3 months","population":"Adults undergoing standalone chondrolaryngoplasty for aesthetic neck contour","evidence_status":"limited"},"techniques":[{"name":"Chondrolaryngoplasty via small horizontal neck incision","suits_whom":"Typical adults with prominent thyroid cartilage seeking contour reduction.","recovery":"Same-day discharge; return to desk work in about 1 week."},{"name":"Submental incision approach","suits_whom":"Patients preferring a scar under the chin; suitability depends on anatomy.","recovery":"Similar to standard approach."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":0.5,"max":1.5,"unit":"hours","qualifier":"Operative time for standalone tracheal shave."},"initial_assessment_documents":["Front and side neck photos","Photos with chin raised and head turned","Gender-affirming hormone therapy history (if available)","Laryngoscopy or voice assessment report","Previous neck surgery reports (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage day surgery; stay about 7-10 days to allow suture check and early voice review before flying home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the surgeon is fully trained in the specific procedure","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"It can be difficult to find out if a surgeon is fully trained in the procedure you want.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask the surgeon to show before and after pictures of their work","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Confirm you will have two consultations with the operating surgeon before surgery","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that you have been able to ask the team your questions","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check how your aftercare will be coordinated before you book","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Ask how many similar procedures the surgeon has performed","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"how many procedures like the one you're having they have done","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Cosmetic surgery offered as part of a holiday package is a warning sign","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"Be cautious of websites selling cosmetic surgery as part of a holiday.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Meetings only with sales staff, with no consultation with the surgeon, is a warning sign","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"make sure you have a consultation with the surgeon (avoid meetings only with sales people)","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"A hard sell or pressure to make a quick decision is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The surgeon does not explain the procedure’s risks or complications","scope":"treatment_type","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"- what the procedure involves - the limitations of a procedure - what alternative procedures there are - any risks or complications","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"The provider cannot explain what happens if complications occur or where follow-up appointments will be","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/tests-and-treatments/cosmetic-procedures/advice/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"- what happens if there are complications - where follow-up appointments will be","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Chest pain","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21574-facial-feminization-surgery","host":"my.clevelandclinic.org","quote":"Arrhythmia (abnormal heartbeats). Chest pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Shortness of breath","urgency":"emergency","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21574-facial-feminization-surgery","host":"my.clevelandclinic.org","quote":"Arrhythmia (abnormal heartbeats). Chest pain . Shortness of breath","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Increased redness, pain, drainage or swelling","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21574-facial-feminization-surgery","host":"my.clevelandclinic.org","quote":"Symptoms of infection, including increased redness, pain, drainage or swelling.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs wound-care and equipment advice to continue postoperative care","document":"wound care advice","source":{"url":"https://www.nhs.uk/tests-and-treatments/having-surgery/afterwards/","host":"nhs.uk","quote":"You'll also be given advice about how to care for your wound, any equipment you may require, such as dressings, bandages, crutches and splints, and maybe painkillers.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"The home doctor needs the pain-relief information to continue medication care safely","document":"medication list","source":{"url":"https://www.nhs.uk/tests-and-treatments/having-surgery/afterwards/","host":"nhs.uk","quote":"You'll also be given advice about how to care for your wound, any equipment you may require, such as dressings, bandages, crutches and splints, and maybe painkillers.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want both your larynx and Adam's apple made smaller","name":"Feminization laryngoplasty","source":{"url":"https://stanfordhealthcare.org/medical-treatments/t/transgender-voice-therapy-and-surgery/types.html","host":"stanfordhealthcare.org","quote":"this procedure removes some thyroid gland cartilage, making your larynx (voice box) and Adam's apple smaller.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"chondrolaryngoplasty","name":"Chondrolaryngoplasty via small horizontal neck incision","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"submental-incision-approach","name":"Submental incision approach","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"chondrolaryngoplasty","name":"Chondrolaryngoplasty via small horizontal neck incision","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Typical adults with prominent thyroid cartilage seeking contour reduction.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Same-day discharge; return to desk work in about 1 week."},{"id":"submental-incision-approach","name":"Submental incision approach","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Patients preferring a scar under the chin; suitability depends on anatomy.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Similar to standard approach."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want both your larynx and Adam's apple made smaller","name":"Feminization laryngoplasty","source":{"url":"https://stanfordhealthcare.org/medical-treatments/t/transgender-voice-therapy-and-surgery/types.html","host":"stanfordhealthcare.org","quote":"this procedure removes some thyroid gland cartilage, making your larynx (voice box) and Adam's apple smaller.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"Under Thailand's visa exemption scheme, you can stay up to 30 days for tourism only","source":{"url":"https://www.gov.uk/foreign-travel-advice/thailand/entry-requirements","host":"gov.uk","quote":"From 15 September 2026, if you enter Thailand under the visa exemption scheme, you can stay for up to 30 days for tourism only.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"U.S. citizen tourists staying fewer than 60 days in Thailand need no visa, but must complete pre-arrival online registration","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Thailand.html","host":"travel.state.gov","quote":"U.S. citizen tourists entering Thailand for fewer than 60 days do not require a visa but pre-arrival online registration is required.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"Your passport must expire at least 6 months after the date you arrive in Thailand and have at least 1 blank page","source":{"url":"https://www.gov.uk/foreign-travel-advice/thailand/entry-requirements","host":"gov.uk","quote":"To enter Thailand, your passport must have an ‘expiry date’ at least 6 months after the date you arrive and have at least 1 blank page.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"U.S. travelers are strongly advised to hold a passport valid at least six months beyond the arrival date in Thailand to avoid possible denied entry","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Thailand.html","host":"travel.state.gov","quote":"We strongly recommend that your passport be valid for at least six months beyond the date of your arrival in Thailand to avoid possible denied entry.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"medicines","audience":"all","volatile":false,"text":"Up to a 30-day supply of medicine for personal use may be brought into Thailand with you","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Thailand.html","host":"travel.state.gov","quote":"Medicine for personal use: Up to a 30-day supply may be brought into the country with you.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 1669 for Emergency Medical Services (EMS) in Thailand","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Thailand.html","host":"travel.state.gov","quote":"For emergency services in Thailand, dial 1669 for Emergency Medical Services (EMS).","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["brazil","china","colombia","dominican-republic","india","mexico","spain","turkey","ukraine","united-states"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.42,"count":71,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Tracheal shave in Thailand costs from _op_910_price_from_ to _op_910_price_to_. The final quote depends on provider, surgeon fees, and anesthesia choice. Local anesthesia with sedation and general anesthesia may have different fees. The US average is _price_compare_US_average_. Patients may save around _price_percent_discount_% compared with US treatment. Listings do not specify inclusions. Patients should confirm surgeon, anesthesia, facility, medications, and follow-up charges.</p>\n<ul>\n<li><strong>Anesthesia choice.</strong> Sedation or general anesthesia can change the quoted total.</li>\n<li><strong>Hospital setting.</strong> Bangkok listings include hospitals and specialist cosmetic centers, with different fee structures.</li>\n<li><strong>Surgeon fees.</strong> Surgeon selection and experience can affect the quoted amount.</li>\n<li><strong>Package contents.</strong> Listings do not spell out inclusions; patients should confirm services before comparing quotes.</li>\n</ul>\n<p><strong>Bookimed Expert Insight.</strong> Bangkok listings show a lower starting quote alongside a named Adam’s apple reduction provider. Asia Cosmetic Hospital lists prices around $800–$1,350 and holds Joint Commission International (JCI) accreditation. Its principal surgeon is an International Society of Aesthetic Plastic Surgery (ISAPS) member. Wansiri Hospital lists about $1,100–$1,350. Dr. Shananya Varophas performs Adam’s apple reduction there. Patients can compare provider details and written inclusions alongside price.</p>","faq":[{"q":"How long should I stay in Thailand for a tracheal shave?","a":"<p>Patients should plan to stay in Thailand for 7 to 10 days for a tracheal shave. This timeframe allows for a 1-day hospital stay, initial healing monitoring, and a follow-up appointment between day 5 and 7 to ensure the incision is closing correctly before flying home.</p> <ul> <li><strong>Hospital stay:</strong> Most clinics like Asia Cosmetic Hospital require a 1-day stay for post-op observation.</li> <li><strong>Stitch removal:</strong> Surgeons typically schedule follow-up exams 5 to 7 days after the procedure.</li> <li><strong>Flight safety:</strong> Medical travel experts recommend waiting 8 to 10 days before long-haul international flights.</li> <li><strong>Peak swelling:</strong> Patients often experience the most significant inflammation between days 3 and 5.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While basic packages start at $840, the most successful recoveries we see involve staying near the clinic for a full week. Asia Cosmetic Hospital maintains a 0% complication rate by utilizing anesthesiologists and cardiologists for every surgery, making that initial 24-hour monitoring period vital for patient safety.</p> <p><strong>Patient Consensus:</strong> Many patients suggest packing loose turtlenecks to cover bandages and recommend booking clinic-affiliated hotels for the first week to simplify daily check-ins.</p>"}],"h2":[{"text":"Як це працює","kind":"content"},{"text":"Яка вартість зменшення кадика в Таїланді?","kind":"content"},{"text":"Дізнайтеся про найкращі клініки з зменшення кадика у Таїланді: 10 перевірених клінік та ціни","kind":"content"},{"text":"Огляд процедури Зменшення кадика в Таїланді","kind":"content"},{"text":"Найкращі фахівці з зменшення кадика в Таїланді — 6 лікарів із відгуками та цінами","kind":"content"},{"text":"Відеоісторії пацієнтів Bookimed","kind":"content"},{"text":"Відгуки про Bookimed: дізнайтеся про реальний досвід пацієнтів","kind":"content"},{"text":"Зменшення кадика: Фото до та після","kind":"content"},{"text":"Корисні статті","kind":"content"},{"text":"Поділитися цим контентом","kind":"content"},{"text":"FAQ з зменшення кадика в Таїланді","kind":"content"},{"text":"Отримати безкоштовну консультацію","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}