22 year old female, why is my Adam's apple so prominent & why does it have 2 bumps? (Photos)

Question

Is there a procedure to fix both bumps?

Ali Sajjadian, MD, FACS · Answer

Thanks realself2298 for  your question! It is perfectly normal for women to have a visible "Adam’s apple," and having two distinct bumps is actually the standard anatomical structure for everyone, regardless of gender. The Adam’s apple is not actually a unique organ; it is the thyroid cartilage that protects your vocal cords. While it is typically more prominent in males due to testosterone widening the larynx during puberty, many women naturally have less fatty tissue in the neck or a specific thyroid angle that makes the cartilage more visible.
If the prominence causes you significant distress, there are surgical ways to address it:
Chondrolaryngoplasty (Tracheal Shave) is the most common surgical procedure to reduce the size of the Adam’s apple. A surgeon makes a small incision (often in a natural neck crease to hide the scar) and shaves down the thyroid cartilage to create a smoother, flatter profile They can often smooth the transition between the thyroid and cricoid cartilage during this procedure to address both protrusions.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian

Jeffrey H. Spiegel, MD · Answer

There are two major cartilages there.  The top cartilage can be reduced straight away.  We use a method I designed many years ago which safely reduces this. We have done this for hundreds of women. Watch the video to learn more.

Stephen Kleid, MBBS, FRACS · Answer

You have a long thin neck, so the normal features of your laryngeal skeleton are visible.
The top prominence seems to be your Thyroid lamina (the Adam's apple). It can be reduced, as we do for trans-women.
The lower prominence is probably your cricoid cartilage, which cannot be interfered with surgically. It might have an overlying thyroid gland remnant, such as a Pyramidal lobe, or even a high-riding or prominent isthmus - either of which can be excised. (An ultrasound and a clinical examination by an ENT/Head & Neck surgeon can sort that out for you).

Kamol Pansritum, MD · Answer

They are the Adam's apple prominent superiorly and cricoid prominent inferiorly.Only Adam's apple can be shave.

22 year old female, why is my Adam's apple so prominent & why does it have 2 bumps? (Photos)

Answers (4)

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