ABSTRACT
This case report details a 21-year-old transgender female patient who underwent a concomitant trichophytic brow lift with frontal bone reduction, tracheal shave (also known as thyroid chondroplasty), and rhinoplasty for facial feminization in conjunction with her transitioning process. During rhinoplasty, harvesting cartilage for structural grafting is often necessary, and this is typically done from a distant, unrelated surgical site. During this case, cartilage from the thyroid lamina was utilized in the form of a columellar strut graft. This case highlights the use of thyroid cartilage in a novel way, as a structural graft in open rhinoplasty (in a transgender patient), and reviews the surgical approach and anatomy for a thyroid chondroplasty.