A smoother neckline—designed with voice safety and natural contours in mind
For many people, the neck can carry a strong gender cue—especially the prominence of the Adam’s apple. If that feature feels out of alignment with how you see yourself, neck feminization can be a meaningful step toward a softer, smoother profile.
At Evolve Your Life, Dr. Amir Dorafshar approaches neck feminization the same way he approaches facial feminization: with precision, empathy, and a deep respect for function. This is delicate anatomy—closely related to the structures that support your voice—so thoughtful planning and careful technique matter.
On this page:
» What Is Neck Feminization?
» Who Can Benefit?
» A Surgeon’s Eye: Anatomy That Matters
» Neck Contour Differences
Procedure Details:
» Timing, Anesthesia & Length
» Approach 1: Transcervical
» Approach 2: Transoral “Scarless”
» Risks & Possible Complications
» Recovery & Aftercare
» Questions to Ask at Your Consultation
In the context of gender-affirming facial care, neck feminization commonly refers to Adam’s apple reduction, also known as chondrolaryngoplasty. The goal is to reduce the visible prominence of the thyroid cartilage and create a smoother neck contour that aligns more closely with feminine aesthetics.
It’s a focused procedure—but for many patients, the impact can feel big: a neckline that looks calmer, softer, and more in sync with your identity.
Neck feminization is most commonly pursued by transgender women, since the Adam’s apple is often perceived as a masculine feature. It may also be an option for anyone who feels their neck contour doesn’t reflect how they want to be seen.
This procedure lives at the intersection of aesthetics and function. Dr. Dorafshar’s approach emphasizes not only contour, but protecting the structures involved in voice production.
Key anatomy includes:
While anatomy varies widely and doesn’t define gender, there are common patterns that explain why the Adam’s apple can be more visible in some people:
Your consultation is where Dr. Dorafshar connects these anatomical details to your goals—so the plan is realistic, safe, and aligned.
Neck feminization may be performed as a stand-alone procedure or combined with other facial feminization procedures.
This is the classic approach using a small incision on the neck.
A small 2–3 cm transverse incision is placed in a natural crease under the chin (typically marked before surgery to optimize concealment).
This approach avoids an external neck scar by working through the mouth.
Inside the mouth, between the gum and the lower lip.
It’s important to go into surgery with clarity—not fear. Dr. Dorafshar will walk you through what’s most relevant for your anatomy and health history.
Your recovery plan is individualized, but these are common guidelines:
If you like to feel prepared, these questions can help guide a thoughtful conversation:
A smoother neckline can be a powerful form of alignment. Dr. Dorafshar will help you understand your options with honesty and care—so you can choose the approach that fits your goals, your anatomy, and your comfort level.
Dr. Amir Dorafshar is a board-certified plastic, aesthetic, and reconstructive surgeon, renowned worldwide for his pioneering work in aesthetic surgery, craniofacial and microsurgical reconstruction, facial gender-affirming surgeries, and computer-assisted surgical techniques.
With over three decades of professional experience, Dr. Dorafshar’s commitment to medical innovation and his passion for advancing surgical practices have established him as a leading expert, respected author, and authoritative figure in the field.
At Evolve Your Life, we’re committed to delivering a world-class experience through attentive, responsive, and compassionate care. How are we doing?
See what some of our patients have to say:
Kiersten Obermayer
Dr. Dorafshar is absolutely amazing. He truly cares about the results as well as the patient. He checked up on me multiple times through my recovery and my results are amazing already after 10 days! Can’t wait to see them when I’m fully healed!
Khyla Tatak
Talk about a great experience overall. Dr. Dorafshar made me feel at ease, answered all of my questions and set realistic expectations on recovery. Constantly checked in to make sure I was doing ok during the first week post surgery. His team set the bar high. I’m so incredibly happy with my results.
—Iliana Diana
At Evolve Your Life, we know how important it is to look in the mirror every day and see a reflection that feels like your own.
