Trachea shave surgery(Adam’s apple shaving)

Thick thyroid cartilage is caused by testosterone and so it can be a problem for transwomen.

Chondrolaryngoplasty, or Adam’s Apple Shaving, is an adjunctive procedure to remove the lump in the anterior portion of the 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 results of this operation are effective, satisfying, and long-lasting.

  • 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 cauterization.
  • 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.