A tracheal shave – also known as Adam’s apple reduction or chondrolaryngoplasty – is a procedure designed to reduce the prominence of the Adam’s apple, creating a smoother and more refined contour of the neck.
Within facial feminisation surgery, this can play an important role in aligning the appearance of the neck with a more feminine profile.
Why This Procedure Is Considered
The prominence of the thyroid cartilage can be a visible feature of the neck.
For some individuals, this can contribute to:
- Awareness of the neck profile
- A more angular or prominent appearance
- A mismatch between facial features and overall presentation
A tracheal shave may be appropriate if you are looking to:
- Reduce the visibility of the Adam’s apple
- Create a smoother neck contour
- Achieve a more feminine appearance in profile
The aim is not to remove structure entirely, but to reduce prominence in a controlled and balanced way.
How the Procedure Works
A tracheal shave is performed under general anaesthetic.
- A small incision is made, typically in a natural skin crease of the neck or in a less visible location depending on approach
- The prominence of the thyroid cartilage is carefully reduced
- The underlying structures, including the vocal cords, are preserved
The procedure is precise, as the amount of reduction must be carefully controlled to maintain normal voice function.
Recovery
Recovery is usually straightforward.
- Mild swelling and discomfort settle over the first 1–2 weeks
- The incision heals gradually and becomes less visible over time
- Most patients return to normal daily activity within a short period
Voice rest or temporary voice changes may be discussed as part of aftercare.
Results
As healing progresses, the neck appears:
- Smoother in contour
- Less prominent at the Adam’s apple
- More balanced in relation to the face
The result is typically subtle but meaningful, contributing to an overall sense of alignment and comfort.
A Personalised Approach
The size and shape of the thyroid cartilage vary significantly between individuals.
Careful planning ensures:
- The degree of reduction is appropriate
- The contour remains natural
- Voice function is protected
Maintaining this balance is central to achieving a successful outcome.
Combination with Other Procedures
A tracheal shave is often performed alongside other facial feminisation procedures.
While it does not directly alter facial structure, it complements changes to the face by addressing the overall profile and neck contour.
Consultation
A detailed consultation allows discussion of your goals, assessment of neck anatomy, and explanation of what can be achieved safely.
You will have the opportunity to explore how this procedure may contribute to your overall outcome.
Book a Consultation
For tracheal shave surgery in London, arrange a consultation to discuss your options and develop a personalised treatment plan.