Adam’s Apple Shaving is a common procedure requested by transgender women to reduce the visibility of the bulge (Adam’s apple) in the throat area. It is typically performed under local anesthesia as well as sedation to ensure the patient remains relaxed throughout.
Individuals who experience distress due to their gender identity contrasting with what they were assigned at birth or their physical characteristics (otherwise known as gender dysphoria) often seek feminization surgery, such as Adam’s apple shaving. While many transgender women choose not to undergo surgery, some consider it a naturally important step to take as it offers a way to express their identity. Transgender people connect with their bodies in different ways, which makes it essential for them to determine the choices that would most benefit their needs.
$800 to $6,000
Adam’s apple shaving, also known as the tracheal shave, is a popular type of facial feminization surgery that involves reducing the size of the Adam’s apple by shaving it down to more feminine proportions for a smoother-looking neck and throat. This procedure can be approached in two ways:
· Indirect: This involves making a horizontal (submental) incision under the chin, after which the cartilage is exposed by separating the vertical throat muscles. The resulting scar does not come into contact with the cartilage beneath it and stays fixed while speaking or swallowing. This option is much preferred as the scar is hidden and not very noticeable since it is not placed on the front of the neck.
· Direct: This involves making a tiny incision directly on top of the thyroid cartilage, after which cartilage reduction is meticulously carried out with a knife. However, this direct approach can result in:
o A scar that is visible on the front of the neck above the voice box
o The formation of scar tissue on top of the voice box which attaches to the cartilage underneath and moves while speaking or swallowing, making it even more visible
When this procedure is done in conjunction with other facial feminization surgeries, the patient will be administered general anesthesia in an operating theater, and treatment time is typically longer. Throat soreness may be experienced, along with difficulty in swallowing, some bruising, and swelling while recovering after the surgery.
To ensure that your surgery is successful and without complications, it is recommended that you:
Some pain may be experienced, alongside tightness in the surgical site and swallowing difficulties. However, these effects are temporary and will subside over time.
We understand you may want to change your plans due to the coronavirus (COVID-19) and its health implications.
Some common risks shared with other surgical procedures include:
Additionally, extensive resection can result in voice hoarseness.
Will my neck be completely flat and lady-like?
Since extensive/deep shaving can inflict undesirable damage to the vocal cords which may result in voice hoarseness, a completely flat result cannot be 100% guaranteed.
Will my scar show after the surgery?
The incision is placed across a fold of skin in the neck, which will become less noticeable over time as the site heals. Individuals with a history of keloids will need to consider the benefits of the procedure alongside the possibility of acquiring a potentially apparent scar on the neck.
Will this procedure be painful?
As the procedure is performed under anesthesia, you will not feel any pain during the surgery. Instances where only the tracheal shave is being performed may involve the administration of IV or ‘twilight’ sedation; however, this depends on what the patient prefers to have.
In most cases, the pain experienced during the healing and recovery phase is often not very intense and can be alleviated with good aftercare and pain-relieving medications if necessary. Ensuring your head is kept at an elevated position, particularly while sleeping, and applying ice packs as per the instructions given to you can help alleviate any swelling or soreness post-treatment. A sore throat may also be experienced for a couple of days after surgery, but the tracheal shave is a typically well-tolerated procedure.
How long is tracheal shave recovery?
It typically takes around two to four weeks to fully recover after the surgery; however, many patients often return to work and normal activities the following week. Your surgeon will have the stitches at the surgical site removed after about 7 to 10 days following the completion of your procedure.
You may at first experience some redness, swelling, and bruising at the incision site, alongside soreness, swallowing difficulties, and voice hoarseness for a couple of days. These side effects tend to quickly wear off over time; however, if anything seems worrisome to you, please do contact your doctor as soon as you can.
Unless your surgeon gives you the green light, do not shave your neck until the healing process is complete as shaving with stitches in can cause your incisions to open up.
Application of topical steroid ointments or creams may be advised, as well as gently massaging or rubbing the treated site to hinder scar tissue formation. It is imperative that you meticulously follow all aftercare instructions provided by your doctor to ensure a successful, speedy recovery.