A small, but tell-tale trait that distinguishes a male from a female is the laryngeal prominence in the throat, commonly known as the “Adam’s apple.” While some women may naturally develop a noticeable Adam’s apple, it is typically considered a male trait and can help transgender women look and feel more feminine. The Adam’s apple is simply extra cartilage that develops over the larynx (voice box) during puberty and creates a visible lump in the profile of the neck. An Adam’s apple reduction or tracheal shave at Cosmetic Surgery Affiliates in Oklahoma City carefully removes thin layers of cartilage without affecting the voice box. The reduced cartilage can cause the pitch of the voice to change. The amount of cartilage that can be safely removed varies in each patient, but after the tracheal shave surgery by cosmetic surgeons Dr. Erik Nuveen and Dr. Courtney Caplin, patients usually see a visible reduction in their Adam’s apple and a smoother neck profile.
"I cant express in words how absolutely in love with my results and the care I received throughout the entire process! After researching several other doctors and a having a few other consultations with other Doctors, I was blown away by the entire staff and Dr.Nuveen's guidance to achieving the results I wanted. Literally all of the staff was amazing in answering any/all questions I had and did an amazing job with communication especially since I was an out of town patient. I felt like I was actually a "cared about patient" than just another dollar sign. I whole heartedly recommend them and hope that this review helps anyone considering this amazing staff and facility! Thank you isnt enough for such amazing results and bringing me so much more confidence. Forever grateful!"- B.W. / Google / Jun 04, 2022
"2 Weeks Post Op! Absolutely love This place, the staff and Dr. Caplin…..The entire experience was amazing! #BoobAugmentation I initially didn’t want to share my pics or this publicly, in fear of judgment and shame….but I have spoke to so many ladies who where encouraged by my testimony and experience here. I refuse to keep silent now! 💕"- K.F. / Facebook / May 24, 2022
"Dr. Nuveen was awesome, polite, caring and informative."- R.B. / Google / May 20, 2022
"Sara is awesome and all the people that work here are so friendly, they go above and beyond to make sure your needs are met"- J.L. / Yelp / May 19, 2022
"I’ve had such a great experience with CSA. The facility is clean, beautiful and inviting. The women at the front desk are always friendly, both over the phone and in person. I had a consultation for a breast augmentation in March. The consult was thorough! We discussed my hopes/goals, different types of implants, different methods of placement, and I got to try a bunch of implant sizes until I decided on a size I felt the best with. The nurse practitioner made sure to answer all of my questions and made me feel so reassured throughout the whole process. I was then presented with price estimates and payment/financing options. They made my decision to move forward so easy and never made me feel pressured. I am now 5 weeks post-op and could not be happier with my results! Dr. Nuveen was amazing and far exceeded my expectations! He made me feel comfortable from start to finish. He explained things clearly/concisely and made sure to address any questions I had (both pre and post op)! He truly gave me back all of the confidence I’d lost after breastfeeding and I could not be more grateful. 10/10 would recommend ❤️"- J.R. / Google / May 11, 2022
To perform a chondrolaryngoplasty, the plastic surgeon makes a small horizontal incision above the larynx and pulls back the neck muscles to reveal the thyroid cartilage. The surgeon will carefully shave thin layers of the cartilage until the projection is significantly reduced. The plastic surgeon will only remove as much cartilage as possible without injuring the vocal chords, so some patients may still have a slight protrusion, but the neck will be smoother after the procedure. Once the plastic surgeon has removed the cartilage, the neck muscles and skin will be stitched back together and cleaned before the surgical area is covered with bandages.
The tracheal shave is usually performed as an outpatient surgery with the patient under local or general anesthesia. The patient will be able to leave after the procedure to recover at home and will return for follow-up appointments at the plastic surgeon’s office. Patients should expect some bruising and swelling in their neck as well as mild pain and discomfort. Patients are advised to rest their voice as much as possible for at least three weeks after their surgery. Scar management therapy will be discussed by the plastic surgeon to help patients minimize their surgical scar during their recovery.
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Tracheal Shave FAQs
The vocal cords attach to the cartilage inside the larynx. If the vocal attachments are disrupted, the vocal register can change, but this will vary in each patient. There is a fine balance for the greatest reduction of cartilage and potential loosening of the vocal cords - which in some patients could undesirably lower the voice.
With good care during the healing process, the patient should have a minimal scar from their tracheal shave that is flat and blends into the normal skin. Patients can ask their plastic surgeon about scar care management tips and techniques, including creams and treatments that can be used to help the scar heal quickly and be less visible.
Why an Adam's apple?
While it’s scientific name is laryngeal prominence, most people refer to the lump of cartilage over the vocal chords as the Adam’s apple. This popular name comes from the story of Adam and Eve in the first book of The Bible, where Adam and Eve eat the forbidden apple from the Tree of Knowledge and the apple got stuck in Adam’s throat, causing all men to develop an Adam’s apple.
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