Tracheal Shave – Adam’s Apple Reduction Surgery

Throughout the journey to feel confident in your appearance, feminizing certain areas of the face and décolletage can be very important. The male and female silhouettes have some obvious and more subtle differences, many of which can make a drastic difference in how you feel about the way you look during your transition. One area where a dramatic change can be achieved is in altering what is commonly referred to as theAdam’s apple” an area of tracheal cartilage that protrudes more for males than females. A tracheal shave, or Adam’s apple reduction surgery, reduces the amount of cartilage, therefore feminizing the look of the throat. This procedure is also referred to as thyroid cartilage reduction surgery, or scientifically as Chondrolaryngoplasty.

In transitioning from male to female a Facial Gender Confirmation surgery, or facial feminization, can be an important step towards achieving your aesthetic goals. The process of shaving down the thyroid cartilage that makes the protruding Adam’s apple is an important step towards a more feminine look. It is also a surgery that is very important to have a good surgeon for, because though the surgery itself is simple, the area is near the vocal cords. Here at the South Florida Center for Cosmetic Surgery our board-certified surgeons are trained specifically for this procedure and employ their years of training and experience to achieve the best possible results for their patients. We make sure that the tracheal cartilage is reduced to the best ability creating a more feminine silhouette, while trying to maintain the maximum amount of comfort for the recovery process.

Our expertise coupled with the dedication of our patient advocates and staff to making sure you feel safe and comfortable during your transition makes the South Florida Center for Cosmetic Surgery a top choice for such an important moment in your life. Our premier cosmetic surgery center has been around for more than 15 years, constantly improving people’s lives with our top-tier service and results. Trust is important in any cosmetic surgery, and we hope that the outstanding reviews from more than 10,000 patients will help you in your decision to allow us to help make you look and feel your best.

Starting at $2,499

  • Reduces the size of the Adam’s apple
  • Creates a more feminine neck
  • Can be combined with other Facial Gender Confirmation surgeries.

The cost of tracheal shaving, or Adam’s apple reduction surgery, varies, like all cosmetic procedures, depending on the patient and the specific area reduced. At The South Florida Center for Cosmetic Surgery, tracheal shaving is offered starting at $2,499, not including anesthesia or surgeon fees.

Here at the South Florida Center for Cosmetic Surgery, we understand that cosmetic procedures can become costly. We are committed to helping our patients find the most convenient payment method for their procedure. We have partnerships with three third-party financing companies to offer flexible payment plans with instant approval based upon your credit score. We also have an accredited, long-standing network of experienced physicians and vendors, as well as our agreements with competitive lenders to confidently ensure that together we will find a payment option that will be comfortable.

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The Tracheal Shave – Adam’s Apple Reduction Surgery Process


In your initial visit, a consultation will be done to decide the candidacy of the procedure. Please arrive with your complete medical history, including all your medications, allergies, and documentation of any previous surgeries. If you are deemed a good candidate for the tracheal shave, first you will also undergo an extensive physical exam and blood tests before your surgeon takes photographs to aid in specific planning and then expertly performing the procedure. To prepare for the procedure, you will be given important instructions including cautions about taking certain medications, alcohol consumption, and protocols for shaving and using antibacterial soap.


This procedure is often coupled with other procedures undergoing Facial Gender Confirmation. In either case, general anesthesia will be administered by a professional anesthesiologist. Your surgeon will make a small incision in a crease in your neck or at the top of your neck at the chin to create the least visible scar possible. A small space, like a tunnel, is then provided for the surgeon to have exposure to the thyroid cartilage that creates the Adam’s apple, and is then shaved down with a special tool. After the tracheal cartilage has been smoothed down to the desired amount. After the cartilage shaving, the surgeon will suture the skin along your incision and apply a bandage or a surgical garment to help stabilize the area and to provide sterilization.


Patients are advised to leave two weeks for recovery after Adam’s apple reduction surgery, as while the procedure is short, you constantly swallow, never allowing your neck muscles to completely relax. There will be swelling for 48 hours to weeks after surgery. There will also initially be some bruising and it could feel difficult to talk or to swallow the first 48 hours, afterwards it might feel like you have a sore throat. Minimizing the use of your throat through eating and talking is ideal the first two days, and throughout the recovery, ice packs are encouraged. The small incision scar usually fades or becomes hidden within a year.

Post Surgery

Post-procedure follow ups are as follows: one day, one week, and one month following the procedure. After that visit, further appointments will be advised by the doctor.

As long as there is good skin elasticity, most people are good candidates for tracheal shaving.

Yes, this is commonly done and why choosing our gender confirmation specializing surgeons is important. Please consult with us about what options are available to you

The incision the surgeon makes can be as small as 1-1.5cm wide and placed strategically in a crease on the neck or at the top of the neck at the chin to reduce visibility. For most patients the scar fades significantly in the first year, and more gradually afterwards.

General anesthesia will be provided during the procedure. At the South Florida Center for Cosmetic Surgery, we always have general anesthesia administered by a professional M.D. Anesthesiologist.

Yes, the tracheal shave done to the thyroid cartilage is permanent and does not grow back.

Yes; however, someone will need to drive you home.

There is virtually no pain during the surgery due to anesthesia. Afterwards, there will be some swelling and bruising with the most discomfort occurring in the first 48 hours. Two weeks of recovery time is advised with utilization of ice packs and limited motion for the neck to heal.

Patient pictures are showing Before and After results are actual patients – Individual results vary. Client Testimonials are based on personal experience and are the opinion of individual clients. Any claims made on this website are intended to provide information about procedures provided here. Realistic Individual results will be discussed with you based on your information with an initial consult with a doctor or health care professional provided for your free consultation. The information provided is NOT intended as medical advice and is for your general knowledge only.