Kamol Hospital - Thailand Cosmetic & Plastic Surgery

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Adam's Apple Shaving

Tracheal Shave / Adam’s apple shaving

in Bangkok, Thailand


           The Adam’s apple or the trachea is the forward protrusion of cartilage on the front of the neck, clearly visible in most men. Tracheal shave or Adam's apple shaving is a standard procedure for facial feminization surgery. It is one of the simple methods for facial feminization surgery, can perform under local anesthesia, as an outpatient   After the age of 30, calcium is gathered and transforms into hard bone, making the operation difficult to remove the trachea.

แสดงตำแหน่งกระเดือก และ แผลผ่าตัด

Picture 1. Show Adam’s apple position and the incision

Kamol Cosmetic Hospital offers 2 techniques for Tracheal shave are as follows;

  • The open technique, the incision around 2-3 centimeters, a horizontal line between neck and chin for hidden the scar. The surgeon will open the incision pass through Adam's apple cartilage ( Laryngeal Prominent) and reduce the height of the cartilage to be flat as much as possible. Stitches inside with absorbable suture, the skin using the sterile strip. The operation time is around 1 hour
  • Endoscopic technique or scar- less technique, is a conventional laparoscopic surgery which undergoes by general anesthesia. The surgeon will put the endoscope pass through the mouth to reduce Adam’s apple cartilage ( Laryngeal Prominent) to be flat as much as possible. The operation time around 1 hour


A Good Candidate for Tracheal shave

  • Trans women who have visible Adam's apple ( Laryngeal Prominence )
  • Physically Healthy
  • Realistic expectation


Preparation for Tracheal shave

  1. Consult with the surgeon who specializes in this operation, make a plan to achieve a goal
  2. Stop smoking at least two weeks before surgery
  3. Stop medication that interferes the coagulation  such as Aspirin, Ibuprofen, some vitamin or herbs


Procedure for Trachea shave

  1. It can be undergone by local or sedate or anesthesia
  2. Operation by open technique, the surgeon makes a horizontal incision parallel to the upper neckline at the highest possible point, open the wound pass through Adam's apple cartilage and reduce it as much as possible to be flat. Then sutures.
  3. Endoscope technique, the surgeon will pass the endoscope through the mouth and reduce the cartilage, then stitches.


Post-operative care for Tracheal Shave

  • Stop smoking, alcohol for one week after surgery
  • Avoid salty food to decrease swelling
  • Keep clean the wound
  • Avoid talking after surgery a few days
  • Control pain by medication or 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 instruction and appointment


Risk and complication for Tracheal shave

  • Swelling
  • Bruising or hematoma
  • Scarring
  • Neck pain
  • Wound Redness, it will be gone after a few weeks
  • Voice will be change after surgery

Adam's Apple Shaving Before & After

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Consultations Daily : 08:30-18:00
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