Tracheal Shaving (Adam Apple)
Tracheal Shaving (Adam’s Apple Shaving) The Prominent Thyroid cartilage is known as the “Adam’s Apple” is one of the most telling of male secondary sex characteristics. Although its presence is a testosterone-induced structure, its’ prominence has more to do with the length of the vocal cords, neck instruction and resonance of the airway than it […]
Tracheal Shaving (Adam’s Apple Shaving)
The Prominent Thyroid cartilage is known as the “Adam’s Apple” is one of the most telling of male secondary sex characteristics. Although its presence is a testosterone-induced structure, its’ prominence has more to do with the length of the vocal cords, neck instruction and resonance of the airway than it does the actual size of the Thyroid cartilage. When noticeable on profile or extension of the neck, a protruding Adam’s Apple can be a telltale sign of male history. However, it is not invariably present among males nor MTF’s and can seemingly disappear by speaking in a higher resonance as some MTF’s are able to do. The Adam’s apple can also be seen in adult natal females on occasion as witnessed by the several Tracheal shaves we have performed on natal females. Its prominence can also be avoided by the avoidance of male puberty. However, when present in the MTF female, it can present a daunting challenge to someone trying to blend into a female world.
The Tracheal Shave (TS) is a delicate surgical procedure, normally performed under general anaesthetic and be as a part of Genital Reassignment Surgery (GRS). It can also be performed with FFS (Facial Feminization Surgery), particularly if jaw work is a part of the FFS, thereby avoiding any appreciable neck scar. Most MTF patients, however, do not require major jaw work as a portion of a successful transition, thus requiring some sort of surgical scar in shaving the Adam’s Apple.
The procedure, although not complex, is a highly delicate operation whose success is measured by the absence of a prominent thyroid cartilage (so-called female neck profile) in the presence of a scarcely visible scar (small and neatly tucked beneath the mandible) without injury to the vocal cords. With the final result, Adam’s apple should be invisible and the neck is flat. The only exception to this is a Grade V Thyroid cartilage prominence, which is rare.
The final scar, after one year, should be barely visible and well-hidden. Some of the results show scars that are hidden beneath the jaw, which is our preferred site. The others show scars which are hidden within an already existent neck fold. This is done for a variety of reasons but both approaches yield a wonderful result–in our hands–virtually always.