Promiment Adam's Apple six weeks after tracheal shave, is it really just swelling?

If your initial result appeared satisfactory and subsequent swelling occurred then you likely have residual swelling.  See your surgeon and discuss any concerns. 

Dear Finallybeing, 
Thank you for your question. Six weeks after a tracheal shave is usually about the time when most of the swelling goes down. This issue seems to be highly variable and can be more prominent in one person versus another. I have had patients who have this swelling persist for 3-4 months even with steroid injections. I would discuss this issue with your surgeon and find a treatment plan that works for you. 
Let us know if you have any further questions or concerns. Good luck! 
P. Daniel Ward, MD. 

Thank you for your question. From what you are describing you may have had a fluid collection underneath the skin after surgery at some point. Normal swelling should have subsided, but fluid collections after surgery may prolong this or cause thickened scar tissue. The steroid injection you had can be a good option, but you will also want to give it some more time to heal.
Best of luck to you,
Sarah Saxon, MD

Since your earlier result was satisfactory, the subsequent fullness is not residual prominence of the adams apple. It more likely may be swelling.