Tracheal Shave / Adam’s Apple in Bangkok, Thailand
The Adams Apple tracheal protrusion is a uniquely masculine feature. The varying-in-size cartilage protrusion on the front of the neck is removed or shaved down to create a smooth, feminine neckline. Tracheal shaving is a relatively inexpensive and straightforward procedure. It is usually performed outpatient under local anesthetic and commonly performed in conjunction with other surgeries under general anesthesia.
Kamol Cosmetic Hospital offers 2 techniques for Tracheal shaving as follows:
- The open technique: The incision is a horizontal line between the neck and chin to hide the scar. The surgeon makes an incision to Adam’s apple cartilage (Laryngeal Prominent) and reduces the height of the cartilage to be as flat as possible. Stitches are then made inside with absorbable stitches and on the outside using a sterile strip. The operation takes around 1 hour.
- Endoscopic technique. This technique has the advantage of being scarless. The surgeon accesses Adam’s Apple through the mouth with an endoscope and reduces Adam’s apple cartilage (Laryngeal prominence) as much as possible to have a female profile. The operation lasts around one hour.
A Good Candidate for Tracheal Shave
- Trans women who have visible Adam’s apple (Laryngeal Prominence)
- Physically Healthy.
- Realistic expectations.
Preparation for Tracheal Shave
- Consult with the surgeon who specializes in this operation.
- Stop smoking at least two weeks before surgery.
- Stop medication that interferes with coagulation, such as Aspirin, Ibuprofen, some vitamins, or herbs.
Procedure for Trachea Shave
- It can be undergone by local or sedate or anesthesia
- Operation by open technique: the surgeon makes a horizontal incision parallel to the upper neckline at the highest possible point, opens the wound, passes through Adam’s apple cartilage, and reduces it as much as likely to be flat. Then sutures.
- With the endoscope technique, the surgeon passes the endoscope through the mouth, reduces the cartilage, and then stitches.
Post-operative Care for Tracheal Shave
- Stop smoking & alcohol for one week after surgery.
- Avoid salty food to decrease swelling.
- Keep the wound clean.
- Avoid talking after surgery for a few days.
- Control pain with medication & cold compression
- Keep the head elevated for at least 1-2 weeks after surgery to minimize post-op swelling and protect the healing incision.
- Follow all post-operative instructions and appointments.
Risk and Complications for Tracheal Shave
Although infrequent risks associated with this procedure include:
- Swelling.
- Bruising or hematoma.
- Scarring.
- Neck pain.
- Wound Redness (disappears after a few weeks)
- Voice will change temporarily after surgery.
Risk and Complications for Tracheal Shave
Before & After Adam's Apple Shaving
What is the scientific explanation for the presence of the Adam's Apple in men?
The Adam’s apple, also known as the laryngeal prominence, is a protrusion at the front of the neck commonly seen in men. While it is often thought to be a bone, it is made of cartilage that covers the thyroid cartilage, a large cartilage structure in the front of the neck that surrounds the larynx, also known as the voice box.
The Scientific Explanation:
The presence of the Adam’s apple in men is rooted in the differences between male and female anatomy. During puberty, the larynx in males grows much larger and more prominent than in females.
‘This growth is caused by the increased production of testosterone, which stimulates the growth of the larynx and the surrounding cartilage. The result is the Adam’s apple, which can vary in size from person to person.’
‘One theory why the larynx grows so much in males is that it is an evolutionary adaptation that helps enhance the male voice during courtship. The deeper, more resonant voice resulting from the larger larynx and Adam’s apple is considered attractive to potential mates.’
This theory is supported by the fact that many species of animals have evolved similar structures, such as the lion’s mane or the rooster’s wattles, which serve a similar purpose in attracting mates.
In conclusion,
The presence of the Adam’s apple in men results from the increased growth of the larynx during puberty, brought on by the increased production of testosterone. The larger size of the larynx is thought to enhance the male voice during courtship and serves a practical purpose in protecting and regulating the vocal cords. While the Adam’s apple size can vary significantly from person to person, it is a defining characteristic of the male anatomy. It has been the subject of much scientific investigation and speculation.
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.
