Adam's Apple Reduction Overview
A small, but tell-tale trait that distinguishes a male from a female is the laryngeal prominence in the throat, commonly known as the “Adam’s apple.” While some women may naturally develop a noticeable Adam’s apple, it is typically considered a male trait and can help transgender women look and feel more feminine. The Adam’s apple is simply extra cartilage that develops over the larynx (voice box) during puberty and creates a visible lump in the profile of the neck. An Adam’s apple reduction or tracheal shave at Cosmetic Surgery Affiliates in Oklahoma City carefully removes thin layers of cartilage without affecting the voice box. The reduced cartilage can cause the pitch of the voice to change. The amount of cartilage that can be safely removed varies in each patient, but after the tracheal shave surgery by cosmetic surgeons Dr. Erik Nuveen and Dr. Courtney Caplin, patients usually see a visible reduction in their Adam’s apple and a smoother neck profile.
"Would give more stars if I could! Amazing group of people working here and very considerate, helpful, encouraging, and overall I had a even better experience than I could have ever expected. I'm very grateful for their opinions, timeliness, care, and most importantly my surgery outcome! Could not recommend a better plastic surgeon and staff!"- Anonymous / UCompareHealthcare / Nov 20, 2016
"Enjoy the awesome vibe from staff. They made me feel comfortable and relaxed. Highly recommend this place to family and friends!"- M.G. / Google / Jun 22, 2020
"This week I went to Cosmetic Surgery Affiliates for a consultation for breast augmentation and a full body lift. I had been researching places to go and this was the one I kept going back to after lots of reviews, both online and word of mouth, were very positive! I walked in and was immediately greeted by the receptionist who was very polite and attentive. The waiting area was gorgeous and comforting. I was taken back to the consult area by Jayme where we had a great conversation about what I had in mind, she was very open and honest with her answers to my questions and made me feel extremely comfortable. Sonia came in next to measure and take photos, I have had 4 kids and modesty isn’t usually an issue, but my poor boobs...She was so sweet, explaining everything she was doing and why. Again, I felt so comfortable. I rocked that photoshoot! Dr. Nuveen stopped in next and explained some more things about the procedures I was wanting and gave some advice on what he felt would be best, I loved that. There’s that comfortable thing again, I felt it. next up, Dr. Caplin! It’s like a literal ray of sunshine came in. She is the kindest person I think I have ever had the pleasure of meeting. She knew exactly what I wanted and assured me it would all be great! She told me a few fun facts about the facility and told me about her pups Max & Ruby who come to the office. How can I not choose this place for my procedures? My deposit for the surgery date was paid today and in a little more than a month I’ll be doing the very first thing for me and I am more than pleased with my decision to use Cosmetic Surgery Affiliates. I am so excited! Thank you so much to Jayme who has answered all of my silly questions at all hours."- M.P. / Yelp / Jun 16, 2020
"Love my results. Dr Nuveen is a miracle worker"- P. / Healthgrades / Jun 11, 2020
"Dr. NUVEEN did a fantastic job taking out HUGE breast implants (done by another doctor), lift and put in smaller implants. I couldn’t be happier with the results. He and his staff were sweet and professional. He listened to my needs and produced great results. I wouldn’t ever go anywhere else."- K. / Healthgrades / May 15, 2020
Adam's Apple Reduction Surgical Technique
To perform a chondrolaryngoplasty, the plastic surgeon makes a small horizontal incision above the larynx and pulls back the neck muscles to reveal the thyroid cartilage. The surgeon will carefully shave thin layers of the cartilage until the projection is significantly reduced. The plastic surgeon will only remove as much cartilage as possible without injuring the vocal chords, so some patients may still have a slight protrusion, but the neck will be smoother after the procedure. Once the plastic surgeon has removed the cartilage, the neck muscles and skin will be stitched back together and cleaned before the surgical area is covered with bandages.
Adam's Apple Reduction During/After Surgery
The tracheal shave is usually performed as an outpatient surgery with the patient under local or general anesthesia. The patient will be able to leave after the procedure to recover at home and will return for follow-up appointments at the plastic surgeon’s office. Patients should expect some bruising and swelling in their neck as well as mild pain and discomfort. Patients are advised to rest their voice as much as possible for at least three weeks after their surgery. Scar management therapy will be discussed by the plastic surgeon to help patients minimize their surgical scar during their recovery.
Plan Your Procedure
Tracheal Shave FAQs
The vocal cords attach to the cartilage inside the larynx. If the vocal attachments are disrupted, the vocal register can change, but this will vary in each patient. There is a fine balance for the greatest reduction of cartilage and potential loosening of the vocal cords - which in some patients could undesirably lower the voice.
With good care during the healing process, the patient should have a minimal scar from their tracheal shave that is flat and blends into the normal skin. Patients can ask their plastic surgeon about scar care management tips and techniques, including creams and treatments that can be used to help the scar heal quickly and be less visible.
Why an Adam's apple?
While it’s scientific name is laryngeal prominence, most people refer to the lump of cartilage over the vocal chords as the Adam’s apple. This popular name comes from the story of Adam and Eve in the first book of The Bible, where Adam and Eve eat the forbidden apple from the Tree of Knowledge and the apple got stuck in Adam’s throat, causing all men to develop an Adam’s apple.
How old do I need to be to transition and what options exist while I decide?
When gender dysphoria begins and how to treat it are controversial subjects.Read
An Opportunity for Equality for All People, especially during Co-vid 19
As June is Pride month, let’s take a moment to reflect on healthcare equality for all people.Read
Multi-disciplinary approach to the transitioning patient.
Teamwork makes the dream work! Learn how multidisciplinary teams work together to help the transitioning patient.Read