One newer option for facial masculinization surgery is surgical masculinization of the thyroid cartilage (Adam’s apple). Developed by American surgeon Jordan Deschamps-Braly, the procedure augments the thyroid cartilage on the trachea using the patient’s rib cartilage to create a visible Adam’s apple.
Rib cartilage is harvested and shaped into a thyroid cartilage graft and then attached to the native thyroid cartilage. The result is a cartilage that moves up and down with swallowing and a visible Adam’s apple.
Deschamps-Braly JC, Sacher CL, Fick J, Ousterhout DK 2017). First female-to-male facial confirmation surgery with description of a new procedure for masculinization of the thyroid cartilage (Adam’s apple). Plastic and Reconstructive Surgery: April 2017 139:4 pp. 883e-887e https://doi.org/0.1097/PRS.0000000000003185
Deschamps-Braly Clinic (deschamps-braly.com)