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.
"Everyone is very kind, and answered any questions I had. They also helped with suggestions to get me to exactly where I wanted to be. I am beyond satisfied with my breast aug. My breast were small and one a little bigger than the other. They have definitely never been an asset, that is not the case anymore. They are exactly the size I wanted and they look great. My confidence has never been better. Dr Nuveen is very compassionate about his profession, his best interest are on his patients and there outcome. He has great bed side manners, and is very kind. He is also very informative, he explained the procedure very well, and what to expect. He followed up with me the day after the surgery, even though it was a Saturday. He is always very kind and informative at each follow up appointment, and answers any questions I have. You will not be disappointed if you use Cosmetic Surgery Affiliates!!"- L.C. / Google / Jun 10, 2021
"I went to see Dr.Nuveen after I had finished my 6 year breastfeeding journey! I was a previous deflated A(not even a cup size) and I wanted to be filled up to where I engorged to while breastfeeding. He met my expectations and my results couldn’t be more perfect! I am more pleased every single day with my results! I love my new body and I LOVE dr. Nuveen and his staff! His bedside manner is spot on, and the nurses truly make it feel even more comfortable! I recommend over and over again!!"- J.L. / Google / Jun 08, 2021
"My surgery was yesterday and Dr.Nuveen himself and his entire staff were awesome! I’m extremely happy with my results and would recommend this place to anyone looking to have a breast augmentation."- B.R. / Google / Jun 03, 2021
"I am absolutely in love with my breasts and lips. Highly highly recommend this facility for all surgery needs!❤️"- M.M. / Google / Jun 03, 2021
"I had a second breast augmentation within the same year as my first and Dr. Nuveen really cared to listen to my concerns and really focused on what could be improved on the second one. Staff is impeccable and full of wonderful trained women. I feel at ease when I come into the office every time knowing I’m in good hands. My first augmentation, the right one didn’t drop at all and second dropped too much. Dr. Nuveen immediately starting making me a new plan on what to do next. None of what happened to my first one could have been predicted or been prevented and I was thrilled I picked Dr. Nuveen because I knew as soon as I brought up my concerns, I had his full and undivided attention. I couldn’t have asked for a better staff or surgeon and I will definitely be going back for anything and everything else cosmetically that I’ll need."- B.S. / Google / Jun 03, 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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