Adam's Apple Reduction (Tracheal Shave) in Bangkok, Thailand

The operation works on cartilage, not on the vocal cords, and the technique is built around protecting the point where the cords attach to the inside of that cartilage. Temporary hoarseness in the first days is common and settles. Permanent voice change is uncommon, and how much cartilage can safely be removed in your case is decided by where that attachment sits in your anatomy.

They describe the same operation. Chondrolaryngoplasty is the anatomically accurate term. "Tracheal shave" is the common name, although the trachea itself is not involved.

The incision is short and placed within a natural neck crease. It is most visible at around two to three months and fades thereafter. Scarring differs between individuals, and patients with a history of keloid or hypertrophic scarring should raise it at consultation.

Yes. Many patients have this procedure alone, as a day case.

Your surgeon will confirm this at your review, based on your recovery. It is a shorter recovery than most facial bone procedures.

Yes, as part of facial masculinization. Projection is built at the midline, generally with the patient's own cartilage. It is a more involved procedure than reduction and is planned individually.

No, and it should not be. Some thyroid cartilage must remain to protect the larynx and the vocal cord attachment. The aim is a neck that reads as a smooth line in profile, not the removal of the structure.

Adam's apple reduction (tracheal shave) starts from THB 50,000. Adam's apple augmentation is assessed individually and quoted after consultation. The final price depends on whether surgery is performed alone or combined with other procedures, and it is confirmed in a written quotation after assessment, before any deposit is taken.

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No. The operation reduces the prominence of the thyroid cartilage and is not designed to change the pitch of your voice. Pitch is set mainly by the vocal cords, and the surgeon protects them by leaving enough cartilage in place where they attach. Some patients notice temporary hoarseness while the area heals, and permanent voice change is uncommon. If a higher pitch is your goal, that is a separate matter, usually addressed with voice training and, in some cases, a separate procedure on the vocal cords by a laryngologist.

Yes. It is frequently combined with facial feminization in a single anesthetic, which spares you a second recovery. When it is part of a combined plan, your stay follows the larger operation: after major or combined surgery, most international patients plan to stay in Bangkok for about 10 to 14 days for wound checks and suture removal. On its own, it is usually a day case. Adam's Apple Reduction (Chondrolaryngoplasty / Tracheal Shave) starts from THB 50,000.

The cartilage that is removed does not grow back, so the reduction is intended to last. Some cartilage always remains to protect the larynx and the attachment of the vocal cords, so the aim is a smoother contour rather than a completely flat neck, and the neck continues to change with age like the rest of the body. Results vary by individual.

Speaking normally is allowed, and you receive written instructions before you leave. In general, patients are asked to avoid strenuous exercise, heavy lifting, and pressure on the front of the neck until the surgeon agrees, to keep the incision clean and dry as instructed, and to protect the scar from the sun while it matures. Contact us if you notice increasing swelling in the neck or a fever, and seek emergency care at once for any difficulty breathing or swallowing.