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
"After 10 long years of being unhappy with my Dallas Botox I hit the road to CSA in OKC to give Jamie Stokes a try when I say I have never been happier I Mean NEVER my brows are high my forehead smooth I can not quit looking at myself in amazement she is super cool and knows exactly what she is talking about I’m already looking forward to next time!"- A.F. / Google / Mar 16, 2021
"Dr. Nuveen was amazing with explaining the entire process and how the recovery is expected to go and was not shy about giving the bad side of what could happen. I went in feeling completely informed. All of the nursing staff was amazing as well. Everyone was so nice and comforting during the whole appointment. I would definitely recommend Cosmetic Surgery Affiliates."- T.J. / Google / Mar 14, 2021
"Dr. Chaplin is AMAZING! I was a bit apprehensive since she was a woman surgeon but I was so pleased with her and her talent. She takes great pride in her work and has a unique woman's eye for aesthetic beauty. I had a full body lift with fat transfer to the buttocks. I was 310 before WLS and 165 stable for a few years. I never thought I would have surgery but it was one of the best decisions I've made. If I am lucky enough to have another procedure I will definitely use her again. She also has a great bedside manner and is especially skilled!"- T.T. / Google / Mar 04, 2021
"I had breast implants that were over 30 years old. I was concerned that there could possibly be something wrong with them. Three years ago, Dr. Caplin replaced them. It was a difficult surgery apparently because of scar tissue on the right side. She had to remove a lot of tissue because of that. Dr. Caplin did a fantastic job of making them look the same size and was able to also do it without a lift. I am 60, and they look fabulous. I would recommend her to anyone. Looking forward to hopefully a face lift sometime soon there at CSA. Awesome staff, the nurses made me feel very secure."- K.C. / Google / Jan 27, 2021
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.
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.
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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.
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