Afeitado de la Manzana de Adán / Reducción de la Tráquea
La protrusión traqueal de la manzana de Adams es una característica únicamente masculina. La protuberancia de cartílago de diferentes tamaños en la parte frontal del cuello se elimina o se afeita para crear un cuello fino y femenino. El afeitado traqueal es un procedimiento relativamente económico y sencillo. Por lo general, se realiza de forma ambulatoria con anestesia local y comúnmente se realiza junto con otras cirugías bajo anestesia general.

El Hospital Cosmético Kamol ofrece 2 técnicas para el afeitado de la manzana de Adán, como sigue:
- Técnica abierta: La incisión es una línea horizontal entre el cuello y la barbilla para ocultar la cicatriz. El cirujano realiza una incisión en el cartílago de la manzana de Adán (prominencia laríngea) y reduce la altura del cartílago para que quede lo más plano posible. Luego se realizan suturas en el interior con suturas absorbibles y en el exterior con una tira estéril. El tiempo de operación es de aproximadamente 1 hora.
- Técnica endoscópica. Esta técnica tiene la ventaja de que no deja cicatrices. El cirujano accede a la manzana de Adán a través de la boca con un endoscopio y reduce el cartílago de la manzana de Adán (Prominencia Laríngea) lo máximo posible para lograr un perfil femenino. La operación dura alrededor de 1 hora.
Un Buen Candidato para el Afeitado de la Manzana de Adán
- Mujeres transgénero que tienen una manzana de Adán visible (Prominencia Laríngea)
- Físicamente saludable.
- Expectativas realistas.
Preparación para el Afeitado de la Manzana de Adán
- Consultar con el cirujano especializado en esta operación
- Dejar de fumar al menos dos semanas antes de la cirugía
- Dejar de tomar medicamentos que interfieran con la coagulación, como aspirina, ibuprofeno, algunas vitaminas o hierbas
Procedimiento para el Afeitado de la Manzana de Adán
- Puede ser realizado con anestesia local, sedación o anestesia general
- Operación por técnica abierta: el cirujano realiza una incisión horizontal paralela a la parte superior del cuello en el punto más alto posible, abre la herida pasando a través del cartílago de la manzana de Adán y lo reduce lo máximo posible para que quede plano. Luego suturas
- Técnica endoscópica: el cirujano pasará el endoscopio por la boca y reducirá el cartílago, luego suturas.
Cuidados postoperatorios para el Afeitado de la Manzana de Adán
- Dejar de fumar y consumir alcohol durante una semana después de la cirugía
- Evitar alimentos salados para disminuir la hinchazón
- Mantener limpia la herida
- Evitar hablar después de la cirugía durante unos días
- Controlar el dolor con medicamentos y compresión fría
- Mantener la cabeza elevada durante al menos 1-2 semanas después de la cirugía para minimizar la hinchazón posoperatoria y proteger la incisión en proceso de cicatrización
- Seguir todas las instrucciones y citas postoperatorias
Riesgos y complicaciones del Afeitado de la Manzana de Adán
Aunque son excepcionalmente raros, los riesgos asociados con este procedimiento incluyen:
- Hinchazón
- Hematoma o moretón
- Cicatrización
- Dolor de cuello
- Enrojecimiento de la herida (desaparece después de unas semanas)
- La voz cambiará temporalmente después de la cirugía
Afeitado de la manzana de Adán – Antes y Después





Video: Afeitado de de la Tráquea
https://www.youtube.com/watch?v=pyPI4FO89Qwhttps://youtu.be/yRKemj_uWl8https://youtu.be/9k7b7cAL-h4
¿Cuál es la explicación científica de la presencia de la nuez de Adán en los hombres?
La nuez de Adán, también conocida como prominencia laríngea, es una protuberancia ubicada en la parte frontal del cuello que se ve comúnmente en los hombres. Si bien a menudo se piensa que es un hueso, en realidad está hecho de cartílago que cubre el cartílago tiroides, una gran estructura de cartílago en la parte frontal del cuello que rodea la laringe, también conocida como caja de la voz.
La explicación científica:
‘’Este crecimiento es causado por el aumento de la producción de testosterona, que estimula el crecimiento de la laringe y el cartílago circundante. El resultado es la manzana de Adán, cuyo tamaño puede variar de persona a persona’
‘Una teoría de por qué la laringe crece tanto en los machos es que se trata de una adaptación evolutiva que ayuda a mejorar la voz masculina durante el cortejo. Se cree que la voz más profunda y resonante que resulta de la laringe más grande y de la manzana de Adán es atractiva para potenciales parejas’
Esta teoría está apoyada por el hecho de que muchas especies de animales han desarrollado estructuras similares, como la melena del león o las barbas del gallo, que tienen un propósito similar para atraer parejas.
En conclusión,
La presencia de la manzana de Adán en los hombres se debe al crecimiento aumentado de la laringe durante la pubertad, provocado por el aumento de la producción de testosterona. Se cree que el mayor tamaño de la laringe realza la voz masculina durante el cortejo y tiene un propósito práctico al proteger y regular las cuerdas vocales. Si bien el tamaño de la manzana de Adán puede variar significativamente de persona a persona, es una característica definitoria de la anatomía masculina. Ha sido objeto de mucha investigación y especulación científica.
What Questions Do Patients Commonly Ask?
What exactly is a tracheal shave, or Adam’s Apple reduction?
Simply put, a tracheal shave is a surgical procedure to reduce the size of the Adam’s apple, the visible bump on the front of the neck.
It involves carefully reshaping the thyroid cartilage, which is what forms the Adam’s apple. It’s often sought by individuals who feel that a prominent Adam’s apple contributes to a more masculine appearance and wish to soften their profile.
Think of it like sculpting; we’re subtly reshaping the cartilage for a smoother neckline.
Why might someone want to get a tracheal shave?
There are several reasons someone might consider this procedure. Primarily, it’s about aligning one’s physical appearance with their gender identity. Many transgender women or non-binary individuals find that reducing the size of their Adam’s apple significantly improves their confidence and comfort in their presentation.
Others may simply feel self-conscious about a prominent Adam’s apple, regardless of their gender identity. It really boils down to personal preference and what makes you feel most comfortable and authentic.
Am I a good candidate for Adam’s Apple Reduction?
Generally, good candidates are in good overall health, have realistic expectations about the outcome, and are psychologically prepared for the surgery.
It’s also important to understand that the procedure has its limitations. For instance, your voice might change slightly, so that’s something we discuss in detail during your consultation. Ideal candidates typically:
- Are generally healthy, with no serious underlying medical conditions.
- Have a prominent Adam’s apple that causes them distress or self-consciousness.
- Have realistic expectations about what the surgery can achieve.
- Are psychologically prepared for the surgery and recovery process.
- Understand the potential risks and limitations of the procedure.
How do I prepare for the surgery?
Preparation is key to a smooth surgery and recovery. Before your procedure, you’ll have a thorough consultation with our surgeon. We’ll discuss your medical history, current medications, and your desired outcome.
Here’s what you can expect in the weeks leading up to your surgery:
- Medical Evaluation: We’ll conduct a thorough medical evaluation to ensure you’re a good candidate.
- Medication Adjustments: You may need to stop taking certain medications, like blood thinners, as advised by our team.
- Lifestyle Changes: We recommend quitting smoking and avoiding alcohol for several weeks before and after surgery, as these can impair healing.
- Pre-operative Instructions: You’ll receive detailed instructions on what to eat and drink before surgery, as well as what to bring with you on the day of your procedure.
- Discussing expectations Talking openly with your surgeon to clearly establish the limitations and realistically achievable goals.
What happens during the tracheal shave procedure?
The procedure typically takes about one to two hours and is usually performed under general anesthesia. The surgeon will make a small incision, usually in a natural skin crease in your neck to minimize scarring. They will then carefully reshape the thyroid cartilage, reducing its prominence. Finally, the incision is closed with sutures.
We prioritize precision and minimizing visible scarring throughout the process.
What kind of anesthesia is used?
Generally, tracheal shave procedures are performed under general anesthesia for your comfort and relaxation. However, in some cases, local anesthesia with sedation might be an option.
This is something you will discuss in detail with the surgeon during your consultation to determine the best approach for you.
Simply put, a tracheal shave is a surgical procedure to reduce the size of the Adam’s apple, the visible bump on the front of the neck.
It involves carefully reshaping the thyroid cartilage, which is what forms the Adam’s apple. It’s often sought by individuals who feel that a prominent Adam’s apple contributes to a more masculine appearance and wish to soften their profile.
Think of it like sculpting; we’re subtly reshaping the cartilage for a smoother neckline.
There are several reasons someone might consider this procedure. Primarily, it’s about aligning one’s physical appearance with their gender identity. Many transgender women or non-binary individuals find that reducing the size of their Adam’s apple significantly improves their confidence and comfort in their presentation.
Others may simply feel self-conscious about a prominent Adam’s apple, regardless of their gender identity. It really boils down to personal preference and what makes you feel most comfortable and authentic.
Generally, good candidates are in good overall health, have realistic expectations about the outcome, and are psychologically prepared for the surgery.
It’s also important to understand that the procedure has its limitations. For instance, your voice might change slightly, so that’s something we discuss in detail during your consultation. Ideal candidates typically:
- Are generally healthy, with no serious underlying medical conditions.
- Have a prominent Adam’s apple that causes them distress or self-consciousness.
- Have realistic expectations about what the surgery can achieve.
- Are psychologically prepared for the surgery and recovery process.
- Understand the potential risks and limitations of the procedure.
Preparation is key to a smooth surgery and recovery. Before your procedure, you’ll have a thorough consultation with our surgeon. We’ll discuss your medical history, current medications, and your desired outcome.
Here’s what you can expect in the weeks leading up to your surgery:
- Medical Evaluation: We’ll conduct a thorough medical evaluation to ensure you’re a good candidate.
- Medication Adjustments: You may need to stop taking certain medications, like blood thinners, as advised by our team.
- Lifestyle Changes: We recommend quitting smoking and avoiding alcohol for several weeks before and after surgery, as these can impair healing.
- Pre-operative Instructions: You’ll receive detailed instructions on what to eat and drink before surgery, as well as what to bring with you on the day of your procedure.
- Discussing expectations Talking openly with your surgeon to clearly establish the limitations and realistically achievable goals.
The procedure typically takes about one to two hours and is usually performed under general anesthesia. The surgeon will make a small incision, usually in a natural skin crease in your neck to minimize scarring. They will then carefully reshape the thyroid cartilage, reducing its prominence. Finally, the incision is closed with sutures.
We prioritize precision and minimizing visible scarring throughout the process.
Generally, tracheal shave procedures are performed under general anesthesia for your comfort and relaxation. However, in some cases, local anesthesia with sedation might be an option.
This is something you will discuss in detail with the surgeon during your consultation to determine the best approach for you.