Is There A Procedure To Make The Adam’s Apple More Prominent?

Q: Dr. Eppley, I am a young girl who is scheduled to have a hysterectomy as part of my conversion to a male. I have seen some postoperative photos of this surgery after one year of healing, and there is a visible scar in most cases. Is it possible to remove this completely, and have you performed a surgery like this? Also, do you do a surgery which will accentuate the adam’s apple for a more male appearance? Thank you for giving me advice in advance.

A:  All hysterectomies result on a low horizontal scar. That scar is permanent and there is no such thing as secondary scar removal or complete eradication. Some hysterectomy scars look quite good on their own and others benefit by a subsequent scar revision. Either way, there will be a scar. It is just a question of how diminuitive in appearance it will be. But there is no procedure than can produce a complete scar removal.

In regards to tracheal or adam’s apple augmentation, I have actually performed such a procedure. It is done with a specially-shaped implant that sits on top and in from of the tracheal cartilage. It has a v-shaped upper edge to it to resemble the typical appearance of the shape of the adam’s apple. It appears to work best in necks that are thin without a lot of subcutaneous fat so the new outline of the tracheal can be appreciated as opposed to just a larger neck bump.

Dr. Barry Eppley

Indianapolis, Indiana