Tracheal shave feminization

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Tracheal shave surgery

Adam’s apple reduction surgery, or tracheal shave, is a common procedure in facial gender confirmation surgery.

Tracheal shave surgery: The gender of the neck

The Adam’s apple is a defining characteristic of adult males. A prominent Adam’s apple can be an issue for trans women who have transitioned, as people generally unconsciously associate this feature with men. But anyone might be unhappy with the prominence of their Adam’s apple, regardless of their gender identity.

The Adam’s apple is an area of cartilage located on the neck just in front of the larynx, It’s also known as the thyroid cartilage.

The larynx acts as a resonance box for the vocal cords. During puberty, the larynx grows more in males than it does in females. This means the male voice is more resonant, and typically deeper.

But it also causes the bump of cartilage popularly known as the Adam’s apple to become more visible.

An Adam’s apple reduction, or tracheal shave, which reduces the size of the thyroid cartilage, is a straightforward procedure that can make a big difference to how feminine a person appears– to themselves and to others.

Feminization of the neck: Tracheal shave

Adam’s apple reduction

Adam’s apple reduction surgery is a feminization procedure that’s relatively simple and quick.

However,  it should be performed by a skilled, experienced surgeon. After all, a reduction that’s too aggressive can weaken the structure of the larynx and change the quality of the voice permanently. Similarly, an incorrectly placed or poorly sutured incision may result in visibly scars and uncomfortable adhesions.

The surgeon reduces the size of the thyroid cartilage to give it a more feminine shape, but it not always possible to safely eliminate it entirely, considering it is the support structure for the voice. To avoid a visible scar in the Adam’s Apple area, a small incision is made some distance above, under the chin in a fold of skin or the crease of the neck, so that it’s practically invisible.

This incision location also aims to prevent skin adhesion or fibrosis in nearby tissues. However, it’s not always possible to make a very large Adam’s apple completely disappear.

The tracheal shave procedure explained

The Adam’s apple reduction surgery is best performed under general anesthesia, whether alone or in combination with other procedures. It takes approximately 30 minutes. An incision is made around two centimetres under the chin, if possible, hidden inside a crease of the submental (chin) area.

From there, a small tunnel is created to reach the thyroid cartilage. With a surgical file and a special ultrasonic scalpel, the prominence and the upper border are reduced, always within safe parameters. The muscles alongside and over the thyroid cartilage are joined to cover the Adam’s apple reduction area.

Ultrashort stay in Marbella after Adam’s apple reduction

If an Adam’s apple reduction (tracheal shave) is the only facial gender confirming procedure you plan to have, you will only need to stay in hospital for one night.

The day after surgery you will be discharged and may return home, with no need to extend your stay in Marbella. Thanks to the use of intradermal sutures, it’s easy for you to remove the single stitch in the comfort of your own home about nine days after surgery.

Ultrashort stay in Marbella after Adam’s apple reduction

If an Adam’s apple reduction (tracheal shave) is the only facial gender confirming procedure you plan to have, you will only need to stay in 1 night in hospital. The day after surgery you will be released and may return home without the need to extend your visit in Marbella. Thanks to the utilization of intra-dermic sutures, it is easy for you to remove the single stitch in the comfort of your own home about 9 days after surgery.