This is where tracheal shaving, also known as “Adam’s apple reduction surgery”—becomes an important step in the facial feminization process. So, is this procedure risky? Is it safe? What details should be considered?
One of the areas trans women pay the most attention to during facial feminization is the neck. This is because the neckline leaves a much more decisive mark on gender perception than we might think. In particular, the thyroid protrusion, commonly known as the “Adam’s apple,” is one of the details that reinforce a masculine appearance, and many trans women may feel uncomfortable in various social situations because of this protrusion.
Providing accurate and realistic answers to these questions is crucial for setting the right expectations and ensuring a more informed process.
Table of Contents
What is Tracheal Shaving?
Tracheal shaving is the aesthetic filing of the excess portion of the thyroid cartilage that forms the Adam’s apple protrusion. The goal is to achieve a straighter and more feminine neckline. The procedure is usually performed through a small incision, made in a thin line under the chin or along the neckline. This minimizes scar visibility.
Although it may seem like a simple procedure, the neck area is anatomically sensitive. The vocal cords, nerves, and windpipe pass through this area. Therefore, the procedure must be performed by an experienced surgeon.
Is Tracheal Shaving a Risky Procedure?
When performed with the correct technique and by an expert surgeon, tracheal shaving is considered a safe operation, but it is important to remember that it is still a surgical procedure. Therefore, it is not completely risk-free.
The following risks may be associated with the procedure:
- Impact on Voice
The most common concern with tracheal shaving is related to the voice. The vocal cords are located just behind the thyroid cartilage. If the surgeon shaves too much, the tension or vibration of the vocal cords may be affected.
This risk is quite low with surgeons who use the correct technique. However, it is still important to check the voice before and after the procedure. - Temporary Hoarseness
Short-term hoarseness, voice fatigue, or changes in voice pitch are normal in many people after surgery. This usually resolves completely within a few weeks. - Scar Appearance
The scar is usually hidden in the crease under the chin and does not create an unsightly appearance. However, in some individuals, it may be slightly noticeable depending on their skin type. - Infection or Swelling
As with any surgical procedure, there is a risk of temporary swelling, bruising, or infection in the area. These risks are easily managed with proper care and the correct use of antibiotics. - Insufficient or Excessive Shaving
Sometimes the Adam’s apple shrinks less than expected, and sometimes excessive shaving can cause unwanted effects on the voice. Therefore, the choice of surgeon is critical.
Why Do Trans Women Prefer Tracheal Shaving?
The neck area is as decisive as the face in gender expression. For many trans women, the visibility of the Adam’s apple:
- Fear of being misgendered in social life,
- The neckline appearing masculine in photographs,
- Not feeling fully feminine in daily life,
- A physical feature that does not change with hormonal treatment,
- A detail that negatively affects self-perception can arise.
Therefore, tracheal shaving is not just an aesthetic procedure; it is considered a process that allows the person to express themselves accurately, feel more comfortable in social settings, and is seen as an integral part of the transition process.
What is the Surgical Process Like?
Tracheal shaving is usually performed under general anesthesia and takes an average of 30–45 minutes. A small incision is made, the protruding part of the thyroid cartilage is carefully thinned, and the tissue is aesthetically reshaped. Post-operative:
• Mild tightness in the neck,
• Sensitivity when swallowing,
• Swelling lasting 5–7 days,
• Mild voice fluctuations may be observed for several weeks.
Most people return to social life within a few days. The stitches usually dissolve on their own, and the scar becomes almost invisible within months.
How Permanent Are Tracheal Shaving Results?
The procedure can be considered permanent. This is because the shaved thyroid cartilage does not grow back. Therefore, the feminine neck contour is preserved for many years. However, in some cases, if the individual’s anatomy has a very pronounced Adam’s apple structure, a slight protrusion may remain after the procedure. Therefore, the surgeon’s planning and the patient’s realistic expectations are very important.
Ways to Reduce Risks
The safety of tracheal shaving largely depends on choosing the right surgeon. Working with a surgeon experienced in facial feminization minimizes risks. Points to consider:
- See the surgeon’s previous tracheal shaving results,
- Review before-and-after photos,
- Prefer doctors who work with voice specialists,
- Seriously follow post-operative care recommendations,
- Avoid strenuous exercise for at least 2–4 weeks.
When these details are followed, the procedure is both safe and highly effective as a complementary part of facial feminization.
Conclusion
When performed by an experienced surgeon, tracheal shaving is generally a safe, effective procedure that significantly improves quality of life for trans women. Risks exist; however, they are largely manageable with proper technique, careful planning, and meticulous post-operative care.
Tracheal shaving is an important step in reducing the masculine appearance of the neckline, adding aesthetic integrity to the facial feminization process, and achieving a look that is consistent with the individual’s identity.
We hope that this article has provided you with useful information and solutions to your problems, and has inspired you to pursue your dreams and goals. If you have any questions, comments, or feedback, please feel free to contact us or leave a comment below. We would love to hear from you and to help you in any way we can. Thank you for reading and have a wonderful day!Follow our blog for more. You can also reach us on our contact page for any questions you may have. Ffs center is an LGBT community friendly organization.
English (United States) 
English (UK) 
Spanish 
Dutch 
German 
Arabic 
French 
Russian