Tracheal Shave / Adam's Apple Reduction

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.   


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

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.

Getting to Know for Tracheal Shave / Adam’s Apple Reduction

Why do we call "Adam's Apple" ?

The term "Adam's apple" is a commonly used expression that refers to the prominent bump or....

Tracheal Shaving makes feminine neck

MTF transgender individuals, one aspect of transitioning often involves reshaping their appearance to align with ..

Women with Visible Adam's Apple

A visible Adam's apple is a protrusion at the front of the neck that is traditionally associated with men.

Before and After for Tracheal Shave

Before & After Adam's Apple Shaving

Before & After Adam's Apple Shaving

Before & After Adam's Apple Shaving

Before & After Adam's Apple Shaving

Before & After Adam's Apple Shaving

See more

Video : Tracheal Shave Surgery 

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.