Dr. Deschamps-Braly is the world’s foremost leader in Adam’s apple augmentation innovation. In fact, he recently invented a groundbreaking new procedure wherein the patient’s Adam’s apple is augmented via a natural implant — sourced from the patient’s own cartilage.
Most commonly, female-to-male (FTM) transgender individuals expect that with testosterone therapy an Adam’s apple will grow naturally to appear more masculine and further the goals of facial gender confirmation. Despite this being a commonly-held belief this is definitely not the case. In fact, if you do not already have a visible Adam’s apple, it will probably not grow bigger with testosterone therapy alone.Rib harvest. Image credit: Chris Gralapp
The wait is over! Dr. Deschamps-Braly’s new book “Facial Feminization Surgery: The Journey to Gender Affirmation” is back and available now. This second edition covers the advances in facial feminization as well as helpful patient stories and is a great resource for FFS patients and their loved ones.LEARN MORE
The augmentation procedure begins by Dr. Deschamps-Braly creating a natural implant made from cartilage taken from the rib cage which is then shaped to augment the existing Adam’s apple. He then makes an incision in the throat, under the chin. The vertical muscles of the throat are then separated to expose the existing Adam’s apple. The new implant is then attached to the appropriate position to increase its size and make it project further out from the throat.Surgical view. Image credit: Chris Gralapp
Relatively healthy individuals who are seeking female-to-male (FTM) facial gender confirmation are ideal candidates for Adam’s apple augmentation surgery. However, the procedure may also be performed on cisgender males (male assigned male at birth) who wish to appear more masculine. Most commonly this procedure is performed in combination with other facial masculinization procedures, to make the face and neck appear more masculine. Depending on the desired outcome, an Adam’s apple implant is sometimes combined with chin augmentation or jaw augmentation to achieve an ideal balance of masculine facial features.
Minimal and localized swelling and bruising around the incision is the most common phase of recovery. Also, some mild discomfort with swallowing maybe experienced in the first few days after surgery.
A subtle fine line may be evident within the first few months, but this fades over the next 3 months. During this time you may use makeup to conceal the incision once any stitches or staples are removed.