The Power of our Voices – Voice Feminization Surgery

It has been said that the tongue can paint what the eyes cannot see.  This beautiful expression succinctly conveys the power of our voices.  With our voices we communicate, alert, share, query, express, and emote.  We can sing songs and spin tales.   But, the stories we tell involve much more than the words we speak.

How we speak also conveys a tremendous amount of information.  Our accent, volume, dialect, and emotion add depth and background to our stories.  The same words can be spoken with underlying fear, love, irony, sincerity, surprise, or delight.

Our voices express our confidence, emotional status, and even our gender.   When our voices don’t fit the words we speak, our emotional state, or our gender it can be discomforting to both the speaker and the listener.  Several vocal characteristics go into having a gender consistent voice, and one of these is the pitch.

Men tend to have voices at a lower pitch than those of women.  However, fortunately, we have a very effective way to make sure that the voice matches the gender.  This is Voice Feminization Surgery.

There are several techniques I've used over the years. One is cricothyroid approximation (CTA) where the vocal cords are stretched to raise the pitch.  Though this procedure can be effective, the results may be short lived and the appearance of the Adam's apple is often increased in the procedure.  (Not what we want!)  Also, an incision on the neck is required to do this procedure.

More commonly now we use a modified Wendler Glottoplasty.    This surgery is done through the mouth.  The vocal cords are seen through a microscope and the front 35% are sewn together after being prepared with a laser and microsurgical instruments.  After the vocal cords heal the voice should be significantly higher.  Most patients who have this procedure note that they are typically gendered correctly on the telephone and their voices are very feminine even without effort (such as when awakening from sleep, coughing, or laughing).

The procedure takes about one hour and requires no overnight stay in the hospital.​

Voice Feminization Surgery has become a very popular way to make sure that ones voice
matches their gender and self.  This improves self confidence and quality of life.

We at TSC are very proud to help people live the best lives they can.  Voice Feminization is one
important part of that.

Meet Our Doctors

Dr. Jeffrey Spiegel

Dr. Jeffrey Spiegel

With special expertise in all aspects of facial plastic surgery, and a particular skill for revision surgery, it’s clear why Dr. Spiegel is one of the most celebrated facial plastic surgeons in the world. If you are seeking the best possible results, or have a uniquely challenging problem, you’ve found the right doctor.

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Dr. Onir L. Spiegel

Dr. Onir L. Spiegel

Dr. Onir (pronounced “oh-near”) has years of experience in facial aesthetics and treats some of the most recognizable and famous faces. Dr. Onir started her career in oral health, earning doctorate degrees from both New York University and Boston University. She has been the recipient of numerous awards for her cutting-edge medical research as well as her technical skills in dentistry.

Learn More About Dr. Onir L. Spiegel

Dr. Jacob Tower

Dr. Jacob Tower

A board-certified specialist in facial plastic surgery, Dr. Jacob Tower brings a thoughtful approach and an artistic eye to New England’s premier plastic surgery practice, The Spiegel Center in Newton, Massachusetts. In addition to being an in-demand surgeon, Dr. Tower is an assistant professor at the Boston University School of Medicine, a sought-after lecturer, and an expert in facial plastic surgery.

Learn More About Dr. Jacob Tower
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