Trachea shave surgery(Adam’s apple shaving)

Prominent thyroid cartilage is frequently a constant embarrassment to a male transsexual.  The results of this operation are effective, satisfying and long-lasting.

Chondolaryngoplasty, or Adam’s Apple Shaving, is an adjunctive procedure to remove the lump in the anterior portion of the the void cartilage which is a physical trait associated with the male gender. This relatively simple procedure will leave a small horizontal scar on the throat and can be performed at the same time as the vaginoplasty requiring an additional 45 minutes of total surgery.

  • The surgery is for patients whose wish to have a smoother, more feminine anterior neck line.

    Surgical technique 

  • The procedure can be done under general anesthesia.
  • The mini-incision (2-2.5 cm ) is normally placed on upper crease of neck skin below submental (chin) area, since in most cases the scar is almost imperceptible.
  • The thyroid cartilage is exposed and marked with cautarization.
  • The thyroid cartilage is reduced, usually by shaving at the most prominent area and the rim of its upper border. The thyroid cartilage contouring is a delicate process and need to be done meticulously especially for those who have calcified (hard) cartilage due to the aging process.
  • All bleeding points are carefully checked and stopped.
  • It takes about 3/4 hour to complete the surgery.
AnesthesiaUsually locally with sedation or general.
Surgery Length1-2 hours.
Side Effects
Recovery PeriodBack to work: 5 day. Strenuous activities, alcohol: about 2 weeks and swelling gone: 2 weeks.
Stay in Hospital1 day (General)
Stay in Thailand5-7 days
  • The application of an ice compress to the neck for twenty-four hours lowers the side effects. Occasional hoarseness may occur but it clears up immediately as the swelling subsides.
  • The recovery takes at least 3 to seven days. Most people are back to work within a week. Ice pack applied to the treated area for a couple of day is always recommended.