Category: plastic surgery case study | rib removal | shoulder reduction

Plastic Surgery Case Study – Transfemale Combined Shoulder and Waist Narrowing Body Contouring Surgeries

Background: There are numerous body contouring surgeries that transfemales may find of benefit. The most common ones performed are liposuction, BBL and breast, buttock and hip implant surgeries which are primarily soft tissue enhancements. These are also structural body modifications (aka hard tissue procedures) that are gaining popularity which include shoulder reduction by clavicle bone Read More…

Technical Strategies – The Role of Latissimus Dorsi Muscle Removal In Rib Reduction Waist Narrowing Surgery

Removal or modification of the lower ribcage is based on the premise that it provides structural support to the abdominal wall. This premise is anatomically supported by the numerous attachments of abdominal muscles to the free floating ribs. Ribs #s 11 and 12, also known as the vertebral ribs, have attachments to the anterolateral abdominal Read More…

Plastic Surgery Case Study – Long Term Results in Type 2 Rib Removals in a Transfemale

Background: Rib removal for a waist narrowing effect, while once an obscure and purported unsafe aesthetic procedure, is now becoming more commonly done. As a result there have become a variety of methods to do so which fundamentally come down to fracture vs excisional techniques. There are and will continue to be debates about which Read More…

The Role of Type 2 Rib Removal Surgery in Body Contouring

Rib removal is becoming a more well known procedure for waist narrowing. There are numerous methods for modifying the shape of the lower ribs to subtotal removal of them. But just as there are techniques to do it there are also specific types of patients who seek the procedure that require some modifications in technique Read More…

Plastic Surgery Case Study- Indications and Results from Type 3 Rib Removal Surgery

Background: Rib removal surgery is becoming a better known procedure for its waist narrowing effect. Its effectiveness is based on the loss of underlying structural support of the lower ribcage for the soft tissues of the waistline. This typically involves subtotal removal of ribs #11 and #12 but may in some cases include rib #10 Read More…

Technical Strategies – Longitudinal LD Muscle Width Reduction in Type I Rib Removal Waistline Narrowing Surgery

In Type 1 rib removal surgery the primary goal is reduction in the length of the free floating ribs (#11 and #12) and any associated soft tissue thicknesses around them. The soft tissue removal can be two fold, flank fat by liposuction and latissimus dorsi (LD) muscle by excision. While rib removal surgery understandably has Read More…

Plastic Surgery Case Study – Type 3 Rib Removal – A Corset Waist Reduction Approach

Background: Rib removal surgery for waist narrowing is a confusing concept because of the different ways surgeons perform it. (and often with different aesthetic outcomes as a result) When one thinks of rib removal it is understandable that the focus is exclusively on the ribs themselves. But rib bone modifications can be done by either Read More…

Technical Strategies – Longitiudinal LD Muscle Resection in Rib Removal Surgery for Waist Narrowing

Rib removal surgery is the internal framework modification approach for waistline reduction/narrowing. While much focus is on the removal or changes in shape of the lower ribcage, particularly the unattached #11 and 12 ribs, there are other tissue reductions that are done as well. At least this is true in the rib removal approach but Read More…

Plastic Surgery Case Study – Two Stage Waistline Narrowing – Rib Removal Followed By A Vertical Backlift

Background: For surgical waist narrowing conventional procedures like liposuction and tummy tucks have a primary role. When they are inadequate or an increased narrowing effect is desired the lone remaining option is structural modification of the lower ribcage. Whether this is done by rib fracture or rib removal the concept is that a collapse or Read More…

Plastic Surgery Case Study – Transfemale Shoulder Reduction and Rib Removal Combined Surgery

Background: While there are many bony structural procedures of the face, there are very few on the body. Those that do exist, however, are bony in nature and consist of shoulder, rib and iliac bony changes. In the transfemale patient population in particular shoulder and waist reductions are desired to help create more body contour Read More…