What effects does it have?

What is it?

Surgical reduction of the size of the laryngeal prominence (Adam's apple).

It's also known as Tracheal shave, Chondrolaryngoplasty, or Thyroid cartilage reduction.

How long does it last?

This treatment is permanent.

More information

Thyroid chondroplasty involves removing some of the cartilage at the front of the Adam’s apple to flatten it, making it less visible.

Thyroid chondroplasty is often carried out during surgeries that affect the voice - either to reduce the number of operations required, or because those surgeries would otherwise make the Adam’s apple more apparent.

A number of variations on the basic surgical technique exist, including incision directly over the cartilage (normally avoided as it leaves more visible scars), incision through the submental area (directly below the chin), and endoscopic surgeries 1. The surgeon can also use an endoscope to pinpoint the location of the vocal chords to avoid damage 2.

Possible complications of thyroid chondroplasty include not enough cartilage being removed, damage to the vocal cords, and destabilization of the epiglottis 1.

To ensure you are receiving the safest possible treatment, you should follow this advice from the Care Quality Commission on how to choose cosmetic surgery.


  1. 1 Morrison, Shane D, Vyas, Krishna S, Motakef, Saba, Gast, Katherine M, et al. (2016) “Facial Feminization: Systematic Review of the Literature.” Plastic and reconstructive surgery, 137(6), pp. 1759–1770.
  2. 2 Spiegel, Jeffrey H and Rodriguez, Gerardo (2008) “Chondrolaryngoplasty under general anesthesia using a flexible fiberoptic laryngoscope and laryngeal mask airway.” Archives of Otolaryngology–Head & Neck Surgery, 134(7), pp. 704–708.

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Page last updated: September 2017