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Video

Voiceover:
28-year-old Ellie came to see Dr Christian with a problem which was making her feel less of a woman.

Ellie:
I have, um, quite a prominent Adam’s apple.

Voiceover:
Dr Christian referred her to meet specialist ear, nose and throat consultant Mr Guri Sandhu at Charing Cross Hospital. He explains that there is a surgical option to reduce her Adam’s apple.

Mr Sandhu:
How we prefer to do it here is to actually expose the larynx. So we find a little skin crease near the prominence, measure carefully as to where the vocal cords are going to be and take away everything that’s beyond that. So we’ve got a maximum reduction, you do end up with a small scar somewhere near the larynx. For the first few months, that’ll be rather pink and obviously you can put makeup on it. But after time, hopefully it’ll blend in within the skin crease and won’t be an issue anymore.

Ellie:
So have you done this in women before?

Mr Sandhu:
Yes, we do women from time to time who are conscious of the Adam’s apple. And the fact is, it’s actually easier to do in women because the larynx is still cartilage. It’s a soft material and you can carve it, and you can get a nice contour. Whereas with men past the age of 20, 30, it starts to turn to bone, and it’s much more difficult to deal with and cut.

Ellie:
It’s such a hard decision. Tied off between a scar and a…living with a…I don’t know.

Voiceover:
A few weeks later and Ellie is back at Charing Cross Hospital, and has decided to go ahead with the surgical procedure. Mr Sandhu will carry out the operation, called a chondrolaryngoplasty, to remove the extra cartilage in her throat. First, a small incision is made into her throat, and then the connective tissue and muscle is cut away to expose the larynx.

Mr Sandhu:
So now you’re beginning to see the top of the larynx, the top of the thyroid cartilage, which they call the laryngeal prominence or the Adam’s apple.

Voiceover:
Mr Sandhu has to carefully measure the Adam’s apple to ensure that he doesn’t cut into the vocal cords.

Mr Sandhu:
What I tend to do is take a little bit of safety margin, a millimetre or two, and then just draw backwards as to what we can take. And so, I’ll make little superficial cuts.

Voiceover:
Next, the cartilage is removed.

Mr Sandhu:
If you’re not careful, you can cut into the airway and expose the airway. So there is your laryngeal prominence.

Voiceover:
A special layer of connective tissue is then stitched over the larynx to ensure the cartilage doesn’t grow back.

Mr Sandhu:
So this is quite important, is to plicate the um, pericondrium, because they can regrow, or they can potentially regrow an Adam’s apple.

Voiceover:
Then the throat is carefully stitched up. After about 20 minutes, the procedure is complete.

Mr Sandhu:
Uh, I think it’s a very good result. There’s no impression of the laryngeal prominence there at all at the end of that, and I hope she’ll be happy.

Voiceover:
One week later, and Ellie is back to see Dr Christian.

Dr Christian:
So Ellie, how long has it been since you had your operation?

Ellie:
It’s been a week now, I had it done a week ago.

Dr Christian:
Right, so it’s really quite fresh…

Ellie:
Yeah.

Dr Christian:
And is it, and tell me how the operation went?

Ellie:
It was fine, they gave me um, some painkillers and antibiotics after, but I haven’t needed to use the painkillers, cause there’s just been no pain at all.

Dr Christian:
And are you happy now, have you had a little peek at it?

Ellie:
I haven’t had a peek at it yet because the, the dressing is kind of…

Dr Christian:
You haven’t taken that off at all, really?

Ellie:
No.

Dr Christian:
wow, that was very good of you. What you’ll have, probably, is a few little stitches in there, that if it’s been a week, we’ll take them out today, and take the dressing off, and… If it looks like it’s healed nicely, we’ll leave it and that’s that, job done. It will probably be a little bit swollen.

Ellie:
It does feel a bit swollen still.

Dr Christian:
Shall we get you over to the couch and we’ll have a look?

Ellie:
Yeah.

Dr Christian:
Let’s go.

Dr Christian:
All right, let’s get some gloves on. I think what might be the nicest thing is you pull that off yourself, so it doesn’t hurt, how about that? Okay, have a go. Slowly. Slowly slowly slowly. Go on, get it all the way off. Okay. And what we can see underneath is actually, instead of having little individual stitches, you’ve just got one great long one through the whole lot. So I’m just going to cut the end of it, pull the whole thing out. Okay, so I’m going to use this vicious-looking little blade, but it’s not going to cut you, it’s going to cut the suture, all right? I’m going to lift it up, like that. Then I’m just going to pull it from this end, all right, you ready? Let’s just get it nice and still for me. Is that okay?

Ellie:
Mm-hmm.

Dr Christian:
Well done. It’s coming, it’s coming, it’s out! There you go, nice long thread, but very very small. Okay, and then there’s one more bit of tape that I’m going to take off you, and we’ll have a look underneath. Look at that, that is very very neat indeed. You are absolutely not going to see that scar, it looks great. Not sore?

Ellie:
No.

Dr Christian:
It’s healed nicely, there’s a little bit of dried blood on it, so you can just clean that off, but it’s healed beautifully well. There’s no redness, there’s no infection. Do you want to have a look? Yeah?

Ellie:
Yeah.

Dr Christian:
You can’t wait, can you?

Ellie:
No.

Dr Christian:
Um, here’s a mirror. Hold that and have a look at it and let me know what you think.

Ellie:
Oh yeah, it’s brilliant.

Dr Christian:
Yeah?

Ellie:
Yeah.

Dr Christian:
Are you happy?

Ellie:
Yeah, very.

Dr Christian:
I mean, it’s a little red where I’ve been tugging on it, but that will all fade completely.

Ellie:
Yeah, it’s brilliant.

Dr Christian:
And actually, you know what, the bump, although it is still a little bit swollen, it’s gone.

Ellie:
You can’t see it at all.

Dr Christian:
It’s absolutely flat now, isn’t it.

Ellie:
It’s brilliant.

Dr Christian:
So, are you a happy girl?

Ellie:
Yeah, very.

Dr Christian:
Good.

Ellie:
It’s brilliant, thank you.

Read the video transcript

Ellie came to see Dr Christian about her prominent Adam’s apple which had been playing on her mind since puberty. Dr Christian stressed that all women have an Adam’s apple but that Ellie’s was particularly prominent, which is a trait associated with men. Dr Christian informs Ellie that there is surgery that could reduce her Adam’s apple though it would scar, so sends her away to think about it. Having seen a specialist, Ellie eventually decided to undergo surgery to reduce the amount of cartilage which caused the pronounced Adam’s apple. A week after surgery, Ellie came to see Dr Christian who removed the stitching to reveal that the lump had almost vanished.

Patient name: Ellie Osborne
Condition: Adam’s Apple
Specialist: Mr Guri Sandhu, Specialist ENT Surgeon
Hospital: NHS Charing Cross Hospital, London
Length of Operation: Approx 20 minutes

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I have an Adams apple too & I'm a female and it ruining my life.. I need help. I need someone to talk about it. Email me..





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Hi saw your post why does it bother you so much? Other people will always tease. Don't know how old you are but I'm sure in time someone will appreciate you for the lovely swan that you are. Write back if you want Hope this has helped

I have a very pronounced Adams apple and it has really affected my self esteem. Where can I go to get a trachea shave and how much will it cost? I live in Cardiff and I'm male. I am really desperate to get this done. Can someone pls help me.





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Hey, I'm 20, female and have a very noticeable Adams apple. My Self confidence is very very low. It's that bad I wear a scarve all year round. Iv always got my hand to my face so I can hide it. It's ruining my life :( Iv not been to the doctors because I am so embarrassed. Someone give me advice please. Thank you x





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Dont be embarrassed, I'm sure its very attractive. Have people been mean to you Claire? We can certainly talk and calm you about it I know many girls with noticeable throats, does not bother me at all

Dont be embarrassed, I'm sure its very attractive. Have people been mean to you Claire? We can certainly talk and calm you about it I know many girls with noticeable throats, does not bother me at all

Show all replies in this thread

Doctors noticed that present generation of human females possesses large protrusions of their larynxes. Its theorized that the more active role of women in typically male-dominated activities, such as sports and corporate work is responsible for the growth of these so-called 'madam's apples.





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Hi Sondra, This site won't let me post my web site. Try Adam's apple + women in a web search and you will eventually find it.





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I find this to be a sad story. I'm 18, female, and I have a prominant adam's apple aswell, but noone even notices it untill I point it out to them! I did have quite bad self confidence issues, and had many years of "this isnt normal, that isnt normal" but then I just learnt to live with it and now it dosnt bug me. I do feel that it's sad when some women (or men) feel like their own bodies look weird in their eyes, because 99% of the time, noone else seems to notice (untill you point it out) or even cares what you look like. If you learn to love yourself and be happy with your looks, it will rub off on other people and they will learn to love you too (if they dont already that is!) :)





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I find it so sad that women have to resort to this kind of surgury. There are men like me (and women) that find women that have an Adams's apple extremely attractive. I run my own website devoted to this.





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where is your web site, have a huge question about mine being removed without consent, i actually miss mine.

I am 26yr old female who has an adams apple. When i asked my doctor about it he said to me to stop being silly and then changed the subject. I am very self consious about my neck but if i was to have it removed would i have to pay to have it done privately or could i have it done on the NHS?





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Hi Sara, Have you found an answer for you question? I also have a visible adam apple and it's been affecting my self confidence, it's fustrating when I see a picture of mine with this massive ball on my neck.

To Sara dont be upst, its normal for you, ignore small minded people. If you want to chat I'm here for you. It can be a difficult subject but no surgery absolutely not


More Information

  1. Prominent Adam's Apple

    In Conditions - An Adam’s apple (or laryngeal prominence) is caused by the pr…


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