Can An Adam's Apple Be Removed

What Is the Difference Between the Adam's Apple in Men and Women?

TheAdam'southward apple is ane of the nearly noticeable gender-related differences between men and women. In men and some women, the small-scale bump known as the Adam'south apple is formed when the thyroid cartilage on the throat is large and projects forward.

The thyroid cartilage is non usually noticeable in women and this makes the Adam'southward apple ane of the virtually prominent features creating a masculine appearance. The prominence of the Adam's apple can hinder a trans woman's ability to 'pass' equally her true gender identity and can become stigmatizing for someone in the process of transitioning.

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Dr. Deschamps-Braly, Plastic Surgery

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Some trans women may choose to have atracheal shave procedure (chondrolaryngoplasty) to reduce the size of a prominent Adam's apple tree because it is stigmatizing, whereas others may just not like the appearance of the crash-land in the eye of their throat.

If y'all're seeking facial feminization surgery (FFS) to appear more feminine, the tracheal shave (likewise known equally Adam's apple reduction or thyroid cartilage reduction) volition nigh always be included in a cluster of facial feminization procedures.

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The Art of the Tracheal Shave: A Vital Component of Facial Feminization Surgery

It is critical that tracheal shave surgery is performed by a qualified and experienced plastic surgeon to avoid damaging the structural back up of the song cords and to ensure a natural-looking issue.

Dr. Deschamps-Braly is an innovator in surgery for the Adam's apple including:

Feminization of the Adam'south apple tree with tracheal shave for trans women and cis-women (who may also have a prominent Adam'southward apple)
Masculinization of the Adam's apple for trans men (wherein Adam'southward apple is augmented via a natural implant) – a procedure globally adopted equally the standard methodology.

Dr Deschamps-Braly is trained and has extensive experience in iii surgical disciplines critical to facial feminization:

Plastic surgery (soft tissue surgery)
Craniofacial surgery (surgery for the underlying facial skeleton)
Orthognathic surgery (jaw surgery)

This enables Dr. Deschamps-Braly to combine surgical feel, innovation, and artistry to successfully integrate the tracheal shave process into a cluster of facial feminization surgeries that will provide a event best suiting his clients' needs.

How Is the Tracheal Shave Performed?

As a common surgical process in facial feminization, the tracheal shave involves the shaving downwards of the Adam'south apple tree to reduce its size to brand the neck and pharynx announced smoother and more than feminine.

2 approaches can exist taken to the tracheal shave process:

Indirect approach (our preferred pick)
Direct approach (non our recommendation).

Theindirect approach involves a horizontal incision just nether the mentum (submental incision) followed by separation of the vertical pharynx muscles to expose the cartilage. This is our preferred option because the scar is not on the front of the neck and then is curtained and less visible. The scar does non adhere to the underlying cartilage and does non move during speech or swallowing.

Thedirect approach involves a small incision directly over the thyroid cartilage. Thyroid cartilage reduction is then performed carefully with a knife. This approach can:

Get out a noticeable scar on tiptop of the voice box on the front of the neck
Create scar tissue over the voice box that adheres to the underlying cartilage and then moves during voice communication and swallowing, becoming even more noticeable.

When yous have a tracheal shave every bit part of a cluster of facial feminization surgeries, yous volition need full general anesthesia in an operating room and longer surgery time. During the recovery period, your throat volition feel sore and you volition have some bruising, swelling and difficulty swallowing.

Our Approach To Tracheal Shave Surgery

Dr. Deschamps-Braly is continually innovating with regards to Adam'due south apple tree reduction (and augmentation via natural implant) techniques within the context of facial gender confirmation surgery. Typically, the procedure involves an incision in the pharynx simply under the chin. The vertical muscles of the throat are and then separated to expose the Adam's apple and the tracheal cartilage is shaved to reduce its size.

We are critical of techniques that place the incisions on the front surface of the throat where potential scarring will be more visible. You don't want to draw attention to something that y'all may be trying to depict attention away from! In addition, we have seen a number of patients who accept had this incision placed inappropriately on the front of the cervix, only then to have the scar stick to the cartilage underneath; and move upwards and down when the patient speaks or swallows. Obviously, this is not an ideal effect.

Note: It is important that Adam's apple tree reduction is performed correctly by a qualified and experienced plastic and craniofacial surgeon. If performed incorrectly, the tracheal cartilage may grow back partially. Dr. Deschamps-Braly uses advanced techniques to significantly minimize that possibility.

Tracheal Shave Techniques – A Discussion of Circumspection

The tracheal shave is one of the four most common facial feminization surgeries where new clients inquire united states of america to right their previous surgeon'south work. The most common complaint that we hear from new patients seeking revision of facial feminization surgery is that their facial features accept not been successfully 'captured' or represented as their preferred gender by their previous surgeon.

The option of surgeon and surgical arroyo to reduce the size of the Adam'due south apple tin can take a marked effect on the final result. Although this procedure might audio straightforward, care and an intimate understanding of the anatomy of the vocal cords is needed.

The success of a tracheal shave depends very much on the skill and expertise of the surgeon performing the procedure. If performed incorrectly, too little cartilage can be removed, risking fractional cartilage regrowth. Alternately, if too much cartilage is removed or the cartilage is removed incorrectly, voice changes such as long-term hoarseness tin occur. Harm to the voice is ofttimes hard to correct.

Dr. Deschamps-Braly uses advanced and innovative techniques that:

Reduce the take chances of the thyroid cartilage growing back
Avert creating a noticeable scar on top of the vocalization box in the middle of the neck
Avert a scar that moves during speech and swallowing
Protect the vocal cords and greatly reduce the risk of voice changes.

Dr. Deschamps-Braly does not recommend surgical approaches that create whatever incisions on the front surface of the throat where any potential scarring will be more visible. Trans women want a neck and pharynx that is scar-free and smooth and that enhances a natural feminine advent.

Tracheal Shave – Adjacent Steps?

Dissimilar surgeons use different surgical approaches to facial feminization and Adam'due south apple reduction. Before you commit to any specific procedure, we recommend that you carefully consider your healthcare options. An Adam'south apple reduction is most efficiently performed as part of a cluster of facial feminization procedures.

Discussing your final goals during a consultation with Dr. Deschamps-Braly can help you to plan for the best result for your feminine transformation. Although located in San Francisco in California, Dr. Deschamps-Braly supports clients from all over the world to accomplish their gender-affirming goals.