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The Evolution of Rib Modification for Aesthetic Body Contouring

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 Muscle and Rib Removal Surgery – Surgical Access

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 in Rib Removal Waist Modification Surgery

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…

Horizontal Backlift with Rib 10 and 11 Removals and Rib 9 Osteotomy Case Study

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…

Combining Rib Removal and Pelvic Plasty Body Contouring Surgeries

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…

Piezotome Bone Cutting in Rib Removal Surgery

A piezotome is a surgical device that uses ultrasonic vibrations to cut bone precisely while sparing soft tissue (nerves, blood vessels, mucosa). It’s basically bone surgery on “precision mode.” What it’s used for In plastic surgery (and related fields), it’s commonly used for: Rhinoplasty (especially piezo rhinoplasty for nasal bone osteotomies) Facial bone contouring Orthognathic Read More…

Limited Subcostal Rib Shave Prominence Reductions

A subcostal rib shave is a cosmetic surgical procedure designed to reduce the visible edge or flare of the lower rib cage, creating a smoother and less prominent lower ribcage appearance. This can be the entire lower subcostal rib margin or it can be an isolated bump or protrusion. What it involves The subcostal ribs, usually ribs 8 and 9 on the Read More…

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