What to expect from Adam’s apple surgery

Reduction thyroplasty is a surgical procedure that, if not combined with other facial feminization surgeries, can be performed on an outpatient basis. In this procedure, the surgeon reduces the size of the Adam’s Apple, also known as the laryngeal prominence. The procedure involves carefully shaving down the thyroid cartilage, which is the structure that forms the Adam’s Apple.

The surgery is performed under general or local anesthesia with sedation, depending on the surgeon’s preference. By working with precision on this area, the surgeon reduces the prominence without affecting the functionality of the larynx. It is important to note that Adam’s Apple surgery is aesthetic and does not address voice feminization.

To reduce the prominence of the Adam’s Apple, the surgeon makes a small incision in the natural fold of the neck, which allows access to the thyroid cartilage. The cartilage is then shaped to reduce its volume, achieving a smoother, sleeker, and more feminine appearance. The procedure usually takes between one to two hours, and in most cases, the patient can go home the same day.

Postoperative care for reduction thyroplasty is not complicated, but it is essential to follow the medical team’s advice to ensure proper recovery and achieve the best results.

In the first few days, it is normal to experience some swelling and tenderness in the area of the neck that was operated on.
It is important to avoid intense physical activity and keep the head elevated while sleeping to reduce inflammation. Additionally, the surgeon’s instructions for cleaning and caring for the incision should be followed to prevent infections.

Although the surgery does not affect vocal function, it is recommended to avoid excessive speaking in the first few weeks, as the area near the vocal cords may be somewhat inflamed. Avoiding shouting or straining the voice will help with a more comfortable recovery.

During recovery, it is advisable to choose soft and easy-to-swallow foods, avoiding very hot or irritating foods. This reduces the risk of discomfort and helps the healing process.

Postoperative follow-up is essential to ensure proper recovery. Checkups will allow the surgeon to assess the incision’s condition, control inflammation, and address any concerns that may arise.

The surgeon will aim to make the incision in a natural skin fold, so it becomes less noticeable over time. However, it is crucial to protect the neck skin from direct sun exposure, especially in the first few months. Using sunscreen and keeping the area covered will help prevent visible scarring and improve the healing process.

One of the most important aspects for those undergoing reduction thyroplasty is knowing when the final results will be visible. It is important to remember that immediately after the surgery, the area may be swollen, so the change may not be immediately noticeable. However, after the first two weeks, the swelling begins to decrease, and the results start to become clearer.
Approximately one to three months after the procedure, the neck contour will appear more defined and smoother, achieving a more gender-aligned and desired look. However, over the next six months, the incision will continue to lighten and soften.

One of the main concerns for individuals requesting reduction thyroplasty is whether the scar will be visible. It is important to note that to minimize scarring, the surgeon makes the incision in a natural neck fold, which helps camouflage it. Over time, the scar tends to fade and become less noticeable, especially if the recommended post-surgery care is followed.

It is important to remember that each body heals differently, so the final appearance of the scar may vary from person to person. However, there are treatments that can help improve the appearance of the scar, and it is advisable to follow the medical team’s advice before pursuing them.

For some transgender individuals, Adam’s Apple surgery can make a significant difference in the appearance of the face and neck, offering greater harmony between their physical appearance and gender identity.

Before undergoing the surgery, it is recommended that the patient discuss their expectations and goals with the surgeon, as this will help the specialist better understand the needs and desires of each individual. The before-and-after photos found in facial feminization results can be useful to understand potential outcomes, but each case is unique and should be treated as such.