Tracheal Shave / Adam’s Apple in Bangkok, Thailand
The Adam’s apple is a uniquely masculine feature. This cartilage protrusion at the front of the neck, which varies in size from person to person, is removed or shaved down to create a smooth, feminine neckline. Tracheal shaving is a relatively inexpensive and straightforward procedure. It can be performed on an outpatient basis under local anesthetic, or under general anesthesia when combined with other surgeries.
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 the Adam’s apple cartilage (Laryngeal Prominence) and reduces its height to be as flat as possible. Stitches are then made inside with absorbable sutures 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 the cartilage through the mouth with an endoscope and reduces it as much as possible to achieve a female profile. The operation lasts around one hour.
A Good Candidate for Tracheal Shave
- Trans women who have a visible Adam’s apple (Laryngeal Prominence)
- Physically healthy.
- Realistic expectations.
Preparation
- 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
- It can be performed under local anesthesia, sedation, or general anesthesia.
- Open technique: the surgeon makes a horizontal incision parallel to the upper neckline at the highest possible point, opens the wound, passes through the Adam’s apple cartilage, reduces it as much as possible to flatten it, then sutures.
- Endoscopic technique: the surgeon passes the endoscope through the mouth, reduces the cartilage, and then stitches.
Post-operative Care
- Stop smoking and drinking alcohol for one week after surgery.
- Avoid salty food to decrease swelling.
- Keep the wound clean.
- Avoid talking for a few days after surgery.
- Control pain with medication and cold compresses.
- 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
Although infrequent, risks associated with this procedure include:
- Swelling.
- Bruising or hematoma.
- Scarring.
- Neck pain.
- Wound redness, which usually improves within a few weeks.
- Temporary voice changes or hoarseness.
Before and After
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:
Its presence 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 visible prominence, 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 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 size can vary significantly from person to person, it is a defining characteristic of the male anatomy and 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 and prominence of the Adam’s apple, the visible bump at the front of the neck.
It involves carefully reshaping the thyroid cartilage that forms the bump. It’s often sought by individuals who feel that a prominent contour 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 bump significantly improves their confidence and comfort in their presentation.
Others may simply feel self-conscious about a prominent neckline, 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 hour and is usually performed under general anesthesia or local 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 minimising 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.
What can I expect during recovery?
Recovery varies from person to person, but here’s a general idea of what to expect:
- Initial Discomfort: You can expect some soreness and swelling in the neck area for the first few days. Pain medication will be prescribed to manage any discomfort.
- Swelling and Bruising: Some swelling and bruising are normal and will gradually subside over the next few weeks.
- Voice Changes: You might experience some temporary changes in your voice, such as hoarseness, which usually resolves within a few weeks.
- Activity Restrictions: You’ll need to avoid strenuous activities and heavy lifting for a few weeks to allow your body to heal properly.
- Follow-up Appointments: You’ll have follow-up appointments with the surgeon to monitor your progress and ensure proper healing.
How long does it take to see the final results?
While you’ll see an immediate difference after surgery, it takes time for the swelling to fully subside and the tissues to settle. You can expect to see the final results within a few months, as the swelling decreases and the scar fades.
Are there any risks or potential complications?
As with any surgical procedure, there are potential risks, although serious complications are rare. These can include:
- Infection: While we take every precaution to prevent infection, it’s always a possibility.
- Bleeding: Excessive bleeding can occur, though it’s uncommon.
- Scarring: Scarring is inevitable, but we strive to minimize its appearance by placing the incision in a natural skin crease.
- Voice Changes: Temporary or, in rare cases, permanent voice changes can occur.
- Difficulty Swallowing: Temporary difficulty swallowing is possible.
- Numbness: Numbness or altered sensation in the neck area can occur.
Will the surgery leave a visible scar?
Our surgeons are highly skilled in minimising scarring. The incision is typically placed in a natural crease of the neck to make it as inconspicuous as possible. Over time, the scar will fade and become less noticeable. We can also recommend scar-reducing treatments if desired.
Will my voice change after a tracheal shave procedure?
There is a chance your voice might change slightly, becoming a bit higher or breathier. This is because the surgery involves reshaping the cartilage that supports the vocal cords. In most cases, any voice changes are temporary and resolve within a few weeks. However, in rare instances, permanent voice changes can occur. We’ll thoroughly discuss this potential side effect with you during your consultation.
How much does a tracheal shave cost at Kamol Hospital?
This depends on the complexity of the procedure and any additional services you may require. We encourage you to contact our team for a personalized consultation and a detailed cost estimate. We strive to provide transparent and competitive pricing.
Why should I choose Kamol Hospital for my procedure?
At Kamol Hospital, we pride ourselves on providing exceptional care and achieving outstanding results. Here’s what sets us apart:
- Experienced Surgeons: Our surgeons are highly skilled and experienced in performing tracheal shaves and other gender-affirming surgeries.
- World-class Facility: We use the latest technology and techniques to ensure the best possible outcomes.
- Personalized Care: We take the time to understand your individual needs and goals, and we tailor our approach accordingly.
- Comprehensive Support: We offer comprehensive support throughout your journey, from your initial consultation to your post-operative care.
- Commitment to Safety: Your safety is our top priority. We adhere to the highest standards of medical care and hygiene.
How do I schedule a consultation?
Scheduling a consultation is easy! You can contact us through our website, by phone, or via email. Our friendly staff will be happy to assist you in scheduling a convenient appointment time. We look forward to hearing from you and helping you achieve your desired look!
