Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. While Botox and hyaluronic acid (HA) fillers can be used creatively for many aesthetic concerns, they are not true alternatives to a tracheal shave, especially if your main concern is a prominent Adam’s apple. Botox or filler might offer subtle enhancements around the area in certain cases. For example, Botox can be used to relax the platysma muscle in the neck, which may help with overall neck smoothness or tightness, but it won’t impact the Adam’s apple itself. Similarly, HA filler could very cautiously be used in surrounding areas to create the illusion of a smoother neck contour, but this approach is limited, temporary, and can sometimes even draw more attention to the area if not done with extreme precision. I hope this helps and best of luck!