Adam's apple removal

To make your neck look more feminine.

Adam’s Apple removal

What is Adam’s apple removal surgery?

If you compare the profile of a man’s and a woman’s neck, you can clearly see the ‘bump’; the Adam’s apple. It’s a typical feature for (adult) men and it gets its name from the first man to walk the earth (according to the Bible) – Adam.

Boys develop an Adam’s apple during puberty when cartilage grows quickly around the frontal part of the larynx (which also grows, causing the boys’ voices to break). Boys develop a deeper voice and the cartilage starts to protrude more and more as it grows. But there is a solution for everything, even for transwomen with a prominent Adam’s apple. You can reduce the size of your Adam’s apple by undergoing facial feminization surgery, namely: Adam’s apple removal. Curious to find out what we can do for you?

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Note: Adam’s apple removal surgery does not change the pitch of your voice. For this, our speech therapist Katrien Eerdekens can help you with voice feminization speech therapy.

Adam's apple removal

Adam’s apple removal procedure

The surgery is simple: our facial feminization surgeon, Dr Bart van de Ven, reduces the cartilage so that your Adam’s apple no longer protrudes. It is very important that a surgeon specialized in facial feminization surgery performs this procedure. Adam’s apple removal surgery actually involves shaving off some of the cartilage which protects your vocal cords. Someone who has little or no experience in this procedure can easily remove too much cartilage, which can lead to permanent damage to your voice. Or they might remove too little cartilage because they are overcautious, meaning that your Adam’s apple is still visible.

Adam's apple removal

How can our experts at 2pass Clinic ensure that this operation goes smoothly? First of all, Dr Bart van de Ven is specialized in facial feminization surgery for transwomen. He has been successfully performing this operation for years. Secondly, we do everything we can to make the operation as safe as possible. Before the surgery, we perform a CT scan of your Adam’s apple. We do this at the Sint-Augustinus hospital in Antwerp, which is just a five-minute drive from 2pass Clinic. The CT scan is included in your Adam’s apple removal surgery. This scan is important because it’s the only way we can see where your vocal cords are in relation to the cartilage. And this is the only way Dr Bart van de Ven can remove exactly the right amount of cartilage during the operation. Curious to find out what we can do for you?

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Adam's apple removal

What kind of anaesthesia is used for Adam’s apple removal?

Adam’s apple removal surgery is usually combined with other facial feminization surgeries. In such cases, general anaesthesia is used. You can also opt to have Adam’s apple removal surgery as an individual procedure. The operation is then performed under local anaesthesia. The procedure takes about one hour.

What about the scar?

The incision for Adam’s apple removal is three centimetres wide and is made under your chin (in a skin fold, if possible). A year after the surgery, the only thing you will be able to see is a narrow white line.

And after your Adam’s apple removal surgery?

  • Swelling: There may be severe swelling 24-48 hours after your Adam’s apple removal surgery. This is normal and can last for up to six weeks. We understand that this can be distressing, as you think you will not be able to breathe. You really don’t need to worry about this. The trachea is very strong and doesn’t succumb to this temporary pressure.
  • Pain: the pain you experience after your Adam’s apple removal surgery feels a bit like a throat infection. It is difficult to talk and swallow, and you have a burning sensation in your throat. This pain can last for about seven to ten days.
  • Voice: as mentioned above, after your operation you will experience some difficulty speaking. It will feel as though your voice has become weaker. We know from experience that this is temporary and that you will get your normal voice back after two to three weeks. In theory, vocal cords may become damaged, but thanks to Dr Bart van de Ven’s expertise and the CT scan, that has never happened during a procedure at 2pass Clinic.
  • Scarring: initially, the scar will be red and visible. After a year, all that will be left is a narrow white line and you will hardly be able to see it.

Adam’s apple removal before and after

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FAQs before surgery

Sometimes I get asked to model during a photoshoot. How long should I wait to book one after my FFS?

That is a very difficult one. It depends very much upon your healing and we can’t give you any guarantee about how long it takes before you look good enough for a photoshoot.
It could be 4 months, but it could also be a year. Of course it also depends on the amount of work that has been done.

What does this procedure cost?

If you want you can send us good pictures together with your ideas so we can send you a financial and operative proposal. To receive a proposal, please fill in the proposal request online and pay the proposal fee of 50 euro through Paypal.

Of course you are always welcome for a consultation.

Typically how long is it after surgery to get your voice back to “normal”?

The voice cords need about 2-3 weeks to make normal use of the voice possible. We cannot exactly, if you use your voice extensively for professional reasons, when this is 100% back as before. We have no feedback on this matter.

How will the scar be after an adams apple reduction?

All incisions leave a small white line in the end.

As this line is placed in an discrete spot (angle between neck and chin), it will be as good as invisible from most angles.

After two weeks nobody should notice from a distance. After 1 year the scar will be completely healed (white).

How the swelling and the bruise of the tracheal shave looks after 2 weeks?

In general you will hardly notice anything. But occasionaly (1 every 50 patients) there is some postoperative bleeding, which needs about a 6- 8 weeks to completely dissolve.

Will reducing the adam’s apple have any negative effects on my voice?

That is why we plan a CT scan to know exactly where are the vocal cords and how much cartilage can be removed. Until know we didn’t have one patient who had this complication.
It is possible though that oedema (swelling) of the vocal cords caused by irritation by the tube that was introduced by the anaesthesiologist or the surgery itself makes the voice weak and/or coarse for a period of about 2 weeks .

FAQs after surgery

You still have another question? Feel free to ask! We will answer your question and if generally applicable add it to the FAQ of this page.