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?
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.
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.
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?
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.
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.
Of course you are always welcome for a consultation.
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.
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).
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.