Scarless Thyroidectomy: The Future of Thyroid Surgery

By Dr. Akshat MalikHead and Neck Onco-Surgeon, Max Hospital SaketSpecialist in Minimally Invasive and Robotic Surgical Techniques For years, one of the most common questions my thyroid surgery patients asked was:“Doctor, will I have a scar?” Until recently, the answer was always, “Yes, you will.” That’s how surgery was traditionally done—with an incision in the middle of the neck. While effective, the scar could be quite visible, which was a concern for many patients, especially younger individuals or those in professions where appearance is important. But today, things have changed. We can now offer a breakthrough technique: scarless thyroidectomy. This approach enables the safe removal of the thyroid gland without leaving any visible marks on the neck. What Exactly Is a Scarless Thyroidectomy? In scarless thyroidectomy, the thyroid gland is removed without any cuts on the neck. Instead, surgeons reach it through a hidden route—most commonly via the inside of the mouth. The technique I use is called the Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA). In simple terms, I make a few small incisions inside the lower lip, insert a camera and fine instruments, and reach the thyroid gland from underneath. Since the cuts are hidden inside the mouth, there’s no visible scar on the outside. This option is suitable for carefully selected patients, including those with: Small, non-cancerous nodules (benign growths) Early-stage thyroid cancer (when the tumor is small and hasn’t spread to lymph nodes) Overactive thyroid conditions such as Graves’ disease, when surgery is required Not every patient is a candidate, but for the right cases, it offers an excellent alternative. How the Surgery Is Done The operation is performed under general anesthesia, so the patient is fully asleep and comfortable. Step 1: Small incisions are made inside the mouth, between the lower lip and gums. Step 2: A high-definition camera and special instruments are introduced. Step 3: With the help of advanced visualization—and sometimes robotic assistance—the thyroid is carefully separated from nearby delicate structures, such as the parathyroid glands (which control calcium) and the voice nerve (recurrent laryngeal nerve). Step 4: The gland is removed through one of the same small hidden cuts. Robotic systems add even greater precision by providing magnified 3D vision and fine instrument control, allowing movements beyond what a human wrist can do. Benefits for Patients The advantages go beyond just “no scar”: Before Surgery: Less Anxiety: The fear of a permanent neck scar is removed. Personalized Planning: Detailed scans and vocal cord checks ensure the surgery is tailored to each patient. After Surgery: No Visible Marks: Patients look like they never had surgery. Faster Recovery: Many patients report less pain and quicker return to normal activities. Boost in Confidence: Without a scar, there is no constant reminder of illness—helping patients feel emotionally and socially more at ease. In my practice at Max Hospital Saket, we are integrating these technologies to push the boundaries of safe, patient-friendly surgery. Scarless thyroidectomy is an example of how we are not only focused on removing disease but also on restoring patients’ sense of normalcy—both physically and emotionally. For More Information – Dr Akashat Malik Website - https://www.headnecksurgeon.in/ Contact - 9810772629