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Adam's Apple Reduction

Home » Surgery » Facial Feminization Surgery (FFS) » Adam’s Apple Reduction

Soften a prominent throat profile with Adam’s apple reduction—specifically curated for transgender women and gender-diverse individuals seeking a more traditionally feminine neck contour. At Transitions, our expert surgeons Dr. Leif Rogers and Dr. Walter J. Joseph perform this precise procedure with care, artistry, and an unwavering commitment to your authentic self.

Create a Smooth, Feminine Neck Profile

Adam’s apple reduction—also known as tracheal shave or chondrolaryngoplasty—is a surgical procedure that reduces the size of the thyroid cartilage, the firm structure that creates the visible “bump” in the throat. This feature tends to be more prominent in individuals assigned male at birth due to the natural angle and projection of the laryngeal cartilage. For many transfeminine individuals, softening this area can help align outward appearance with internal identity.

At Transitions, our surgeons carefully contour the cartilage through a small incision, typically placed discreetly in a natural neck crease to minimize visible scarring. The result is a more traditionally feminine neck profile without altering vocal function. Whether performed on its own or as part of a facial feminization plan, Adam’s apple reduction can be an empowering step toward your gender-affirming goals.

Adam's Apple Reduction Can Address These Concerns:

  • Feeling self-conscious about a prominent neck profile
  • Visible bulge interfering with overall facial harmony
  • Discomfort during social or intimate interactions
  • Gender dysphoria related to throat structure
  • Neck contour that doesn’t align with gender identity

Do I Qualify for Adam's Apple Reduction?

You may be a good candidate for Adam’s apple reduction if you’re a transgender woman, gender-diverse, or nonbinary individual seeking to soften a prominent throat profile. This procedure is ideal for adults in generally good health who have realistic expectations and feel that a smoother neck contour would support their gender expression and confidence.

During your consultation at Transitions, our surgeons—Dr. Rogers and Dr. Joseph—will evaluate your anatomy, discuss your goals, and review your medical history. They’ll also ensure the procedure will not compromise your voice or airway. Every recommendation we make is grounded in both surgical precision and respect for your personal journey.

What Are the Benefits of Adam's Apple Reduction?

Adam’s apple reduction can help you feel more aligned with your gender identity. Whether performed alone or as part of facial feminization, the procedure offers both aesthetic and emotional benefits. Here are some of the key advantages of Adam’s apple reduction:

  • Creating a smoother, more feminine neck profile
  • Enhancing overall facial and neck harmony
  • Helping reduce gender dysphoria related to throat structure
  • Improving comfort in social and professional settings
  • Supporting confidence in photos, video, and daily life
  • Minimizing attention drawn to the Adam’s apple
  • Helping align your physical features with your gender identity
  • Often performed with minimal downtime and discreet scarring

The Day of Your Adam's Apple Reduction Surgery

On the day of your surgery, you’ll arrive at our surgical center, where our team will help you feel comfortable. After reviewing your surgical plan, you’ll be placed under general anesthesia. Dr. Rogers or Dr. Joseph will then make a small, discreet incision—typically hidden in a natural neck crease—to access the thyroid cartilage.

Using specialized tools, your surgeon will carefully shave down and contour the cartilage to reduce its projection while preserving the vocal cords and surrounding structures. The incision is then closed with fine sutures to minimize scarring. The entire procedure usually takes about one to two hours. You’ll be monitored in recovery before being discharged the same day, with detailed aftercare instructions to ensure a smooth and successful healing process.

Your Recovery Experience After Adam's Apple Reduction

After your Adam’s apple reduction, you can expect mild swelling, bruising, and throat discomfort for the first few days. Most patients describe the sensation as a sore throat or tightness when swallowing. You’ll want to rest your voice as much as possible during the initial recovery period, and we’ll provide specific guidelines to help protect the surgical site.

You’ll return home the same day as your procedure, with follow-up visits scheduled to monitor your healing. Most people feel ready to return to work or light activities within a week, though strenuous exercise should be avoided for a couple of weeks. Any scarring is typically minimal and fades over time. Our team is here for you throughout your recovery.

Transition Into Your Authentic Self...

Transitions is a luxury surgical practice dedicated to helping you align your appearance with your identity through expert, compassionate care. With board-certified surgeons, advanced techniques, and a full spectrum of gender-affirming services, we support your journey to your real, authentic self. If a more feminine neck contour is part of your vision, schedule your consultation for Adam’s apple reduction in Pasadena or Beverly Hills today.

Redefining

Gender-Affirming

Care & Aesthetics

Transitions: Where Your True Self Emerges

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