Patients report high satisfaction after ‘Adam’s Apple’ reduction surgery

Washington: Cosmetic surgery to reduce the masculine appearance of the ‘Adam’s apple’ has a high patient satisfaction rate, a study has revealed.

A team of researchers at the Boston University evaluated patient satisfaction after Adam’s apple reduction surgery.

Known to plastic surgeons as aesthetic chondrolaryngoplasty, the procedure is sometimes called “tracheal shaving.” The Adam’s apple, developing during puberty from an increase in the size of the larynx and thyroid cartilage, is more prominent in males than females.

The findings appeared in the medical journal of the American Society of Plastic Surgeons (ASPS).
Chondrolaryngoplasty is performed in patients who want to decrease the masculine appearance of Adam’s apple. It is most often performed in transgender women as part of facial feminisation surgery but may be requested by other patients as well.

The procedure involves reducing the most prominent part of the thyroid cartilage. Ideally, the surgeon would completely remove the forward-projecting cartilage.

However, if the surgery is too aggressive, there’s a risk that the larynx and vocal cords could be affected, resulting in permanent voice changes.

The researchers created a seven-item questionnaire to assess the physical, emotional, and social quality of life after chondrolaryngoplasty, assessing. The researchers contacted Dr. Spiegel’s first 112 patients, 45 of whom responded to the questionnaire.

Sixty percent of patients indicated that they were “very” or “completely” satisfied with the appearance of their neck and Adam’s apple. Only 13 percent said that they were “not at all” satisfied; 15 percent felt that the results limited their social or professional appearance.

About 55 percent of patients felt that the appearance of their neck/Adam’s apple was the “best that it could be,” while only 25 percent said they were interested in further surgery. None of the patients experienced any long-term voice changes.