Plastic Surgery
Dr. Barry Eppley

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Double Board-Certified Plastic
Surgeon Dr. Barry Eppley

Consent for Plastic Surgery – Tracheal Shave (Adam’s Apple Reduction)


Every plastic surgery procedure has numerous issues that every patient who is undergoing a procedure should know. These explanations are always on a consent form that you should read in detail before surgery. This consent form, while many perceive as strictly a legal protection for the doctor, is actually more intended to improve the understanding of the tracheal shave procedure. The following is what Dr. Eppley discusses with his patients for this procedure. This list includes many, but not all,of the different outcomes from surgery. It should generate both a better understanding of the procedure and should answer any remaining questions that one would have.


There are no alternatives to reducing a prominent thyroid cartilage (adam’s apple) other than open surgical reduction.


The goal of a tracheal shave is to reduce the prominence of the neck bulge over the thyroid cartilage.


The limitations of  a tracheal are in how much reduction can be achieved. How much reduction of the neck bulge that will result depends on the thickness of the cartilage and the overlying soft tissues.


Expected recipient site outcomes include the following: temporary swelling and bruising of the neck area, mild temporary soreness and neck tightness, a small permanent heck scar and up to 3 months for all swelling to go down to see the final result.


Significant complications from tracheal shaves are very rare. More likely risks include infection, undercorrection with some residual neck bulging and adverse neck scarring. Permanent voice changes have been reported in the medical literature by not seen by Dr. Eppley. Any of these risks may require revisional surgery for improvement.


Should additional surgery be required for tracheal cartilage or scar revision, this will generate additional costs.

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Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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