An Adam’s apple, scientifically known as the laryngeal prominence, is a visible protrusion in the neck formed by the thyroid cartilage. This feature becomes more pronounced during puberty due to hormonal changes, particularly in individuals assigned male at birth. While often associated with male anatomy, it is possible to surgically reduce or remove an Adam’s apple. This procedure, known as chondrolaryngoplasty, offers a way to alter this anatomical characteristic.
Reasons for Seeking Removal
Individuals seek Adam’s apple reduction for various personal reasons, with gender affirmation being a primary motivation. Many transgender women undergo this procedure to achieve a more feminine appearance and alleviate gender dysphoria, as a prominent Adam’s apple is a masculine trait. This surgical step can contribute to an individual’s sense of self and confidence.
Beyond gender affirmation, some individuals, regardless of gender identity, may desire reduction for purely cosmetic reasons, seeking a smoother neck contour. In rare instances, medical necessity may be necessary due to tumors or growths affecting the thyroid cartilage. The decision to pursue this surgery is personal, often driven by a desire for alignment with their identity or aesthetic goals.
The Surgical Procedure
The surgical procedure to reduce an Adam’s apple is formally called chondrolaryngoplasty or thyroid cartilage reduction. This outpatient surgery takes about 30 minutes to an hour and is performed under general anesthesia. The surgeon makes a small, horizontal incision in a skin crease on the neck, often at the bottom of the Adam’s apple or under the chin to minimize visible scarring.
Once the incision is made, the muscles in the throat are held apart to expose the thyroid cartilage. The prominent cartilage is then shaved down or reshaped using a scalpel, to create a smoother, less angular contour. Surgeons take care to avoid the vocal cords during this process. After the desired reduction is achieved, the incision is closed with sutures.
Recovery and Considerations
Following chondrolaryngoplasty, patients can expect swelling and bruising in the neck. Discomfort is minimal and can be managed with pain medication. Initial recovery spans a few weeks, with most individuals able to return to work within about a week.
Full healing, including swelling resolution and scar maturation, can take several months. Risks include temporary voice changes like hoarseness, which is usually temporary. Rare complications include infection, scarring, or, rarely, damage to the vocal cords or surrounding nerves.