For many people, the natural ageing process of the voice is not a concern and once other underlying causes have been ruled out, nothing more is needed than reassurance. If you find your voice impacts you negatively, age-related changes typically respond well to voice therapy exercises from a speech pathologist. A tailor-made program is developed to target the areas in need and to provide strength and conditioning to keep your larynx healthy. If the muscle bulk is a particular issue, injection laryngoplasty may be of benefit. This typically works best in combination with voice therapy. A Type 1 thyroplasty may also be suitable following a trial of a temporary injection laryngoplasty.