Explore the fascinating world of cosmetic and plastic surgery with world-renowned double board-certified plastic surgeon Dr. Barry Eppley
Clinical Outcomes in Rib Removal Surgery for Waistline Reduction
Rib removal surgery represents the elimination of the last anatomic...
The Surgical Technique of Clavicular Osteotomies in Shoulder Width Reduction
Shoulder width reduction is done by shortening the length of the...
The shape and appearance of the forehead is highly influenced by...
Background: The evolution of rhinoplasty surgery over the past twenty years...
The “tunnel technique” in rib removal for aesthetic waist narrowing refers to a minimally invasive surgical approach where portions of the lower ribs (typically 10–12) are removed through small, strategically placed incisions, creating a “tunnel” to access tand remove he ribs rather than using a wide ??? (open) exposure. Core Concept Instead of fully Read More…
Rib removal surgery typically refers to partial resection of the floating ribs (11 and 12th ribs) known as Eppley Type 1 rib removal. As part of that surgery a small wedge of latissimus dorsi muscle is also taken underlying the oblique lateral flank incision. In an evolution of that original structural waist narrowing procedure the Read More…
Rib removal in petite females is a niche but real request in aesthetic surgery, tied to waist narrowing or body contouring. But it’s important to separate what’s actually done, what’s safe, and what’s more myth than modern practice. What people usually mean by “rib removal” Most are referring to removal of the 11th and 12th ribs (floating ribs) to create Read More…
Rib removal for waist narrowing refers to a cosmetic procedure designed to create a slimmer, more tapered waist by removing portions of the lower ribs. Which Ribs Are Removed? Only the semi (rib 10) or fully free floating (ribs 11 and 12) are removed. These ribs are not attached to the anterior subcostal ribcage They Read More…
The precise origins of rib surgery for aesthetic waist contouring remain unclear. What is clear, however, is that the procedure has evolved significantly in philosophy, technique, and acceptance. Its progression can be divided into three distinct phases: early speculative removal, technique standardization, and modern structural modification. Phase I: The Era of Speculation (Pre-2010) Prior to Read More…
The latissimus dorsi (LD) muscle plays a significant role in aesthetic waist-narrowing rib surgery and affects how the procedure is performed as well as its aesthetic outcome. Why the LD muscle is central to aesthetic rib removal In aesthetic waist narrowing, the ribs of interest are almost always: 10th, 11th and 12th ribs Occasionally 8th Read More…
In rib removal surgery, the latissimus dorsi (LD) muscle matters a lot because of where it sits, how it’s used for access, and how it’s altered during the operation. Latissimus Dorsi Muscle Anatomy The latissimus dorsi is a large, flat, superficial muscle that: Covers the posterolateral chest wall Originates from: Spinous processes of T6–L5 Thoracolumbar Read More…
The intercostal nerve is a critical structure that must be carefully respected during rib removal or rib contouring surgery. Failure to properly manage this nerve can result in long-term pain complications. Intercostal Nerve Anatomy Each rib has a neurovascular bundle that runs along its inferior border within the costal groove. Order (superior ? inferior): Vein Read More…
Back Lifts: Clarifying the Two Primary Types Back lifts are body-contouring procedures with several variations. These are often grouped together, even though they produce very different contouring effects. The key distinction lies in the direction of skin excision, which determines the aesthetic outcome. What Is a Back Lift (Posterior Body Lift) A back lift removes Read More…
There are several structurally or skeletally based aesthetic body contouring procedures that can be performed from the clavicles down to the lower extremities. Excluding lower extremity lengthening or shortening, the three primary procedures are shoulder narrowing, rib removal or modification, and hip widening or augmentation (pelvic plasty). Many patients desire more than one of these Read More…
Clinical Outcomes in Rib Removal Surgery for Waistline Reduction
Rib removal surgery represents the elimination of the last anatomic...
The Surgical Technique of Clavicular Osteotomies in Shoulder Width Reduction
Shoulder width reduction is done by shortening the length of the...
The shape and appearance of the forehead is highly influenced by...
Background: The evolution of rhinoplasty surgery over the past twenty years...