Top Articles

Ribcage Reshaping Osteotomies for Subcostal Rib Flare

Subcostal rib flare refers to the outward protrusion of the lower ribs, most commonly ribs 8–12, at the lower costal margin. It is primarily an osteocartilaginous issue, not a soft-tissue problem. Its key characteristics include: Visible outward angulation of the lower rib cage Most noticeable from: Frontal view (V-shaped or squared costal margin) Oblique view Read More…

Rib 11–12 (Type 1) vs Rib 10–12 (Type 2) Resection in Advanced Waist Contouring

Rib 11–12 vs Rib 10–12 Resection Advanced Waist Contouring — Indications, Impact, and Risk Escalation This comparison applies to advanced, carefully selected aesthetic cases. Rib 10 involvement changes the operation from flank refinement to structural waist narrowing. 1. Anatomical Importance Ribs 11–12 Both are floating ribs Influence the lower third of the waist No role Read More…

Rib 11 and 12 Removal Surgery

Resection of ribs 11 and 12, the freely floating ribs, are most commonly associated with aesthetic waist refinement. Because of their lack of a sternal attachment and their proximity to the waistline removal of their lateral projecting ends reduces the structural support of the sides of the waistline. Rib 11 is longer than rib 12 Read More…

Rib Removal Surgery – The 12th Rib

Rib 12 removal—also called 12th rib resection or floating rib excision—is a surgical procedure to partially or completely remove the 12th rib, the lowest rib in the rib cage. Because it does not attach to the sternum, it’s termed a floating rib. Aesthetic / body-contouring indications Waistline narrowing or flank contour refinement Typically partial resection Read More…

  Rib Removal Surgery – Patient Frequently Asked Questions

Can rib removal surgery give me a waist like Pixie Fox? In almost all cases, the answer is no. Pixie Fox’s result is not typical and should not be considered a realistic expectation for most patients. Her outcome reflects a very specific combination of factors, including the extent of her surgery, her body type, other Read More…

Outcomes for Rib Removal Surgery for Waist Reshaping

Having performed more than one hundred rib-removal surgeries for body contouring over the past decade—encompassing nearly 400 individual rib modifications—I am frequently asked about the waist-narrowing effects of this procedure, particularly as they relate to one of the most well-known patients in the world to undergo it: Pixie Fox. More specifically, patients often ask whether Read More…

Subcostal Rib Flare: Evaluation and Surgical Correction

Introduction Subcostal rib flare refers to a visible or palpable outward angulation of the lower ribs—typically ribs 7 through 10—along the subcostal margin where the rib cage meets the upper abdomen. It is most commonly perceived as a protrusion beneath the chest, particularly when viewed from the front or side. Clinical Appearance Patients often describe Read More…

Back Lift Orientation and Rib Removal: Surgical Strategy and Aesthetic Impact

When rib removal (most commonly the 11th and 12th floating ribs) is combined with a back lift, the orientation of the excision—horizontal versus vertical—is the dominant factor determining the quality of waist narrowing, scar placement, and overall contour change. 1. Horizontal Back Lift With Rib Removal Incision Transverse excision across the mid- to upper back, Read More…

Rib 9 Osteotomy Technique for Ribcage Narrowing

In rib removal surgery for waist modification, the free-floating 11th and 12th ribs have historically been the primary targets. This preference is due to their relative accessibility and lack of distal structural attachments. However, more recent surgical experience and anatomical analysis have demonstrated that ribs 10 and 11 possess longer and wider segments than rib Read More…

Surgical Techniques in Standard Rib Removal Surgery

Rib removal surgery typically refers to partial resection of the floating ribs (11th and/or 12th ribs) and sometimes the 10th rib to reduce lower waist width or to improve contour.  In aesthetic surgery patient selection it is highly selective. Common Indications Aesthetic Lower waist narrowing when skeletal width is dominant Adjunct to abdominoplasty, liposuction, or Read More…

Top Articles