Thailand offers advanced thyroidectomy techniques including conventional open surgery, robotic-assisted systems, and scarless endoscopic approaches. The Transoral Endoscopic Thyroidectomy (TOETVA) leaves the smallest scar because surgeons operate through the mouth, while the transaxillary approach hides 1–2 cm incisions within the natural folds of the armpit.
- Transoral approach: Performed through the mouth, leaving no visible external scars on the body.
- Transaxillary technique: Places small incisions in the armpit to keep the neck completely scar-free.
- Robotic surgery: Uses the da Vinci system for high precision through minimal, hidden access points.
- MIVAT procedure: Minimally invasive video-assisted technique requires only a tiny 2 cm neck incision.
Bookimed Expert Insight: Data from top-tier facilities like Bumrungrad International Hospital and Sikarin Hospital shows a high volume of international patients specifically seeking the transaxillary approach. While open surgery is the global standard, Thai surgeons have refined endoscopic methods to maintain high success rates for cosmetic-conscious patients. Patients should confirm their goiter size first, as larger growths usually require the traditional open approach for safety.
Patient Consensus: Patients report that while the armpit approach hides scars perfectly, initial numbness in the area is common. Most survivors emphasize that the cosmetic benefit of a clear neck outweighs the temporary recovery discomfort.