For many trans women and also for some non-binary people, the prominence in the neck—commonly called the Adam’s apple—can become an uncomfortable reminder of exposure: when speaking with someone unfamiliar, when taking a photo, when choosing an open-neck shirt, or when trying to blend in within a new environment.
Thyroplasty is a surgical procedure that softens the contour of the neck by reducing the projection of the thyroid cartilage, without altering the function of the larynx.
Many names for one surgery
Adam’s apple reduction, Adam’s apple surgery, tracheal shave, Adam’s apple removal, and reduction thyroplasty are some of the names used to refer to this procedure.
However, chondrolaryngoplasty is the most precise medical term for the facial feminization surgery that reduces laryngeal prominence. While reduction thyroplasty is also an appropriate and more accessible term, it is important to note that in laryngology it may also refer to other functional laryngeal surgeries.
Definition of thyroplasty
The “Adam’s apple” is not a bone or a foreign lump; it is the visible part of the thyroid cartilage, a structure of the larynx. In some people—especially after male puberty—this cartilage can become more angular and project forward, creating a more pronounced neck profile.
Thyroplasty or chondrolaryngoplasty consists of reducing and reshaping the portion of cartilage that protrudes in order to achieve a smoother neck contour that is more harmonious and aligned with the patient’s body image.
It is important to understand this clearly: it is not “throat surgery” in the functional sense; it is a profile and volume feminization procedure.
Who is chondrolaryngoplasty for?
The main indication for a thyroplasty is aesthetic and related to personal well-being, and therefore closely linked to individual experience.
It is most commonly requested by trans women who wish to reduce laryngeal prominence to feel more comfortable with their appearance, to feel more confident in social interactions, or in some cases due to gender dysphoria, when the prominence significantly affects their daily life or emotional well-being.
It may also be requested by:
- Non-binary people seeking a more neutral or less pronounced neck contour.
- In specific cases, cis individuals with a very noticeable prominence who wish to soften it.
Difference between thyroplasty and voice feminization surgery
This point often causes confusion and therefore deserves special attention.
Reduction thyroplasty or chondrolaryngoplasty is an aesthetic procedure: it reduces the visible prominence of the thyroid cartilage to soften the neck. Its objective is how the neck looks, without affecting the voice.
Voice feminization surgery, on the other hand, has a different purpose. It aims to modify vocal production by acting on the vibration and tension mechanisms of the vocal cords or on the functional configuration of the larynx. In other words, it attempts to change how the voice sounds, mainly in parameters such as frequency (pitch) and, in some approaches, aspects related to vocal patterns.
Thyroplasty preoperative stage: Evaluation and preparation
At IM GENDER, we assess three things during the first consultation: anatomy, expectations, and safety.
We examine the degree of prominence, the shape of the neck, skin quality, and the approximate location of relevant laryngeal structures in order to plan a reduction that is both natural-looking and, above all, safe.
We also discuss your goals. Some patients want a subtle reduction; others wish for the maximum possible change. At this stage, expectations are aligned with anatomical reality: there is a safe margin for reduction, and a good result does not mean “removing everything,” but rather achieving harmony without taking unnecessary risks.
We also take into account your medical history, medications, habits (such as smoking or alcohol consumption), and lifestyle (work, sports, etc.).
The thyroplasty procedure
The procedure is usually performed under local anesthesia with sedation or general anesthesia, depending on the case and medical criteria, and whether it is carried out as a standalone intervention or combined with other techniques.
When performed on its own, the surgery typically lasts around one hour (it may vary if combined with other procedures).
The technique involves making a small incision strategically placed so it can be concealed as much as possible within a natural neck crease. Through this access point, the cartilage is carefully reshaped.
The key technical aspect is not simply “shaving” the cartilage, but precisely reducing it while respecting nearby structures associated with the voice.
Postoperative period and care after chondrolaryngoplasty
Recovery after thyroplasty or chondrolaryngoplasty is generally quick and straightforward. Many patients return home the same day after a few hours of observation.
During the first 24–48 hours, there may be some swelling, tightness, mild discomfort in the area, and occasionally slight difficulty or discomfort when swallowing. This usually improves progressively.
In the first few days, mild voice changes or temporary vocal fatigue may occur due to local inflammation or the effects of anesthesia; however, this is typically temporary.
During the following weeks, patients are advised to avoid straining the voice, shouting, or unnecessary physical exertion.
As for the scar, although the incision is planned to be discreet, the final quality depends on skin type, genetics, and postoperative care. In general, it is recommended to protect the area from sun exposure for several months and follow the medical team’s instructions regarding hygiene and care.
When results become visible
The change can be noticed relatively soon, but the final aesthetic result becomes clearer once swelling subsides and the area has recovered from surgery.
As the weeks pass, the contour becomes more defined, smoother, and more natural. The scar also evolves: over time it usually lightens and becomes progressively less visible, often becoming almost imperceptible.
To achieve optimal results, it is essential to follow all recommendations from the IM GENDER team and attend all follow-up appointments. These visits allow the team to assess healing, adjust care if necessary, and detect any potential issues early.
At IM GENDER, patients also have access to postoperative support, including a 24/7 emergency phone line and a dedicated email address to resolve questions.
An aesthetic procedure to improve your well-being
Thyroplasty is a relatively brief procedure, but its impact can be significant when the Adam’s apple affects quality of life. The goal is for the appearance of the neck to stop being a source of concern when dressing, speaking, or navigating new social situations.
If you are considering Adam’s apple reduction, the IM GENDER team can guide you through an individual assessment, explain what realistic expectations you can have in your case, and help you plan a comfortable and safe recovery.
Are you considering thyroplasty? Book your first consultation with the IM GENDER team and tell us what concerns you.
