A prominent Adam's apple can be a persistent source of self-consciousness, drawing unwanted attention to the neck and undermining the feminization achieved elsewhere. Chondrolaryngoplasty is a straightforward procedure that shaves the thyroid cartilage to create a smooth, naturally feminine neck contour — a subtle change that makes a significant difference to everyday confidence.
What Is Adam's Apple Shaving?
The Adam's apple, medically known as the laryngeal prominence, is formed by the thyroid cartilage of the larynx. During male puberty, this cartilage grows and angles forward, creating a visible bulge in the neck. Chondrolaryngoplasty carefully shaves down this prominence to reduce or eliminate its visibility, producing a smoother anterior neck contour.
The procedure is one of the quickest and most impactful interventions in facial and cervical feminization. It is frequently performed as a standalone operation or combined with other FFS procedures during a single session. Because it targets cartilage rather than bone, recovery is relatively fast and the risk profile is low.
Common Concerns Adam's Apple Shaving Can Address
- Visible Adam's apple that draws unwanted attention to the neck
- Self-consciousness about neck profile in photos or everyday interactions
- Feeling that the neck area undermines feminization achieved in other areas
- Difficulty wearing certain necklines or accessories comfortably
Are You a Good Candidate?
- Trans women or transfeminine individuals who wish to reduce a prominent laryngeal bulge
- In good general health with no active throat or vocal cord conditions
- Realistic expectations about the degree of reduction achievable
Techniques & Options
The procedure involves shaving down the thyroid cartilage that forms the Adam's apple. The size and shape of the laryngeal prominence, the thickness of the overlying skin, and the position of the vocal cords are all assessed beforehand to determine how much cartilage can be safely removed without affecting voice quality. The approach is straightforward, but precision is essential to achieve a smooth result while protecting the underlying structures.
Two primary approaches are used:
Direct Cervical Approach
A small incision (typically 2–3 cm) is made in a natural skin crease of the neck, directly over the thyroid cartilage. The surgeon carefully exposes the cartilage and shaves it down using a scalpel or burr, checking the contour from multiple angles before closing.
- Direct visualisation allows precise, symmetrical reduction
- Incision is hidden in a natural neck crease
- Scar typically fades to a fine line within a few months
- Most commonly used and well-established technique
Submental or Combined Approach
When chondrolaryngoplasty is performed alongside other procedures such as a submentoplasty (chin liposuction or neck lift), the incision may be placed beneath the chin and the surgeon accesses the thyroid cartilage through the same opening. This avoids an additional neck scar.
- Eliminates the need for a separate neck incision
- Ideal when combined with submental contouring or neck lift
- Single recovery period for multiple neck procedures
- Slightly longer procedure time than the direct approach
Recovery Timeline
Days 1–2
Mild soreness and a sensation of tightness in the throat are to be expected after cartilage work in this area. You may notice slight swelling around the incision site and a temporary scratchiness when swallowing. Pain is minimal and managed with over-the-counter or prescribed analgesics. Rest your voice as much as possible.
Days 3–5
Swelling subsides and throat discomfort diminishes. You can resume speaking normally, though avoid shouting or straining your voice. The small incision is covered with steri-strips or a light dressing. Most patients feel well enough to go out and explore.
Week 1–2
Any residual swelling resolves and the smoother neck contour becomes visible. Sutures are removed at your follow-up appointment around day 7. You can resume all normal activities including light exercise. Avoid direct sun exposure to the scar.
Months 1–3
The incision scar fades from pink to a fine, barely visible line that sits within a natural neck crease. The smooth neck profile is now fully established. No further follow-up is typically needed once you are cleared before departure.
What to Expect
Safety & Risks
Chondrolaryngoplasty is a well-established, low-risk procedure. However, because it operates in close proximity to the vocal cords and laryngeal structures, careful surgical technique is essential.
- Temporary voice hoarseness or change in pitch
- Minor swelling or bruising at the incision site
- Visible scarring (rare with proper placement)
- Incomplete reduction requiring a touch-up
- Infection at the incision site (rare)
- Temporary discomfort when swallowing
A careful assessment of your laryngeal anatomy, including the position and attachment of your vocal cords relative to the thyroid cartilage, is carried out before surgery. This ensures the maximum safe amount of cartilage is removed while preserving your voice. Any specific risks related to your anatomy are discussed before you proceed.
How Much Does Adam's Apple Shaving Cost in Thailand?
Our pricing is transparent and all-inclusive — your quote covers everything from surgeon fees to hospital stay.
Adam's Apple Shaving
All-inclusive surgical package- Board-certified surgeon fee
- Anaesthesia & operating theatre
- Clinic or facility fees
- Post-operative medications
- Follow-up appointments
- Dedicated care coordinator
Common Questions About Adam's Apple Shaving
Everything you need to know before your procedure
Dr. Kanokwan Pattanaporn
MEDICALLY REVIEWEDDr. Kanokwan Pattanaporn
MEDICALLY REVIEWEDGender Affirmation Surgeon · Bangkok
Last reviewed: February 25, 2026
Medical References
- Wolfort FG et al. Chondrolaryngoplasty for Appearance — Plastic and Reconstructive Surgery (1990)
- Neumann K, Welzel C. The Importance of the Voice in Male-to-Female Transsexualism — Journal of Voice (2004)
- WPATH Standards of Care Version 8 (2022)
- Spiegel JH. Chondrolaryngoplasty Under Local Anesthesia — Archives of Facial Plastic Surgery (2006)
Medical disclaimer: Content on this site is provided for informational purposes and should not be treated as medical advice. Outcomes, timelines, and eligibility differ from person to person. Speak with an experienced gender-affirming surgeon before proceeding with any procedure.
What's Included
- Board-certified surgeon fee
- Anaesthesia & operating theatre
- Clinic or facility fees
- Post-operative medications
- Follow-up appointments
- Dedicated care coordinator
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