Adam’s Apple Contouring

Adam’s Apple Reduction, also known as a tracheal shave or chondrolaryngoplasty, is a surgical procedure that reduces the prominence of the thyroid cartilage (Adam’s apple) to create a smoother, more feminine neck contour. It is commonly performed as part of facial feminization surgery but can also be requested by anyone seeking a less prominent laryngeal prominence for aesthetic reasons.

Performed by Dr. Adibfar at Element Toronto, this procedure helps achieve a more harmonious and refined neck appearance while preserving vocal function. It is a relatively straightforward outpatient surgery that can significantly improve self-confidence for patients bothered by a prominent Adam’s apple.

The surgery is suitable for adults whose neck anatomy is fully developed. Dr. Adibfar will evaluate your neck anatomy, skin thickness, cartilage prominence, and overall goals during the consultation. A small, discreet incision is typically made in a natural skin crease under the chin or in a neck fold to minimize visible scarring. Through this incision, the excess thyroid cartilage is carefully shaved and contoured using specialized instruments, while protecting the vocal cords and larynx. The procedure usually takes 1–2 hours.

Risks include swelling, bruising, temporary sore throat or difficulty swallowing, mild voice changes (usually temporary), numbness or altered sensation around the incision, asymmetry, scarring, and rare complications such as infection or more permanent voice alterations. Dr. Adibfar will discuss all risks, benefits, and personalized considerations with you during your consultation.

Most patients return to work and normal daily activities within 1–2 weeks. Swelling and discomfort (often feeling like a mild sore throat) typically subside over the first 1–2 weeks, with final results visible after several weeks to a few months once all swelling has resolved. A discreet scar usually fades well over time.

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