Category: rib removal | shoulder reduction

Combining Shoulder Reduction and Waistline Narrowing Body Contouring Surgeries – Who Is A Good Candidate?

Two uncommon but successful aesthetic body contouring procedures are shoulder reduction (clavicle reduction osteotomies) and waistline narrowing. (rib removal) Each contour reduction procedure is partially or totally based on bone removal to achieve their effects. These are also body contouring procedures done on females, whether it is transgender or cis females. Each procedure has its Read More…

Rib Removal vs Rib Fracturing in Waistline Narrowing Surgery

Rib removal is an effective, but not yet widely recognized, procedure to create the effect of waistline narrowing. By changing the lateral protrusion of the lower ribs, particularly the free floating ones (ribs # 11 and 12), the bony support of the outer waistline is reduced. One of the very interesting questions about rib removal Read More…

Basic Anatomic Concepts in Rib Removal Surgery for Waistline Narrowing

Rib removal is a general but recognized term that applies to waistline narrowing surgery. On the surface the term would imply that rib removals are done and the waistline will fall further inward with the loss of outer bony support. While this is true it is not quite that simplistic. To provide a more in-depth Read More…

Technical Strategies – High Speed Burring Reduction of Traumatic Subcostal Rib Prominences

The ribs are comprised of 12 pairs, all of which have a bony and cartilage component. The ratio of cartilage to bone depends on what rib it is and whether it attaches to the sternum or not. The first ten ribs do attach to the sternum and have varying cartilages in those attachments as it Read More…

The Role of the Lower Ribcage in Waistline Narrowing Surgery (Rib Removal)

Rib removal surgery is most commonly associated from an aesthetic standpoint with waistline reduction. While the width and shape of the waistline is affected by numerous tissues, the protrusion of the lower ribcage has always been assumed to be a significant contributor to it. Much of this has to do with the ability to feel Read More…

Rib Prominence Reduction from Traumatic Costochondral Fracture (Separation)

Trauma to the ribcage is a not uncommon event. Most of the time blunt trauma causes bruising and swelling otherwise known as contusions to the ribcage. But in some cases fractures of the ribs can also occur. While the bony arc of the ribs can be fractured, a very common site of fracture is the Read More…

The Five Critical Steps in Waistline Narrowing By Rib Removal Surgery

Rib removal in aesthetic surgery is associated with waistline narrowing. Once thought to be a myth, the partial removal of the downwardly sloped free floating ribs is a valid surgical procedure that does remove bony support of the lateral waistline. But to make the procedure effective there are some basic steps to maximize its potential Read More…

OR Snapshots – Free Floating Rib Angulation in Waistline Narrowing Surgery

Rib removal surgery for aesthetic waistline reduction is based on the premise that the free floating ribs provide support to the lateral waistline. Thus removing them would allow the waistline to collapse/fall inward. This is conceptually true as any diagram, drawing or illustration of the lower end of the rib cage for ribs #11 and Read More…

Postoperative Corset vs Waist Trainers in Rib Removal Waistline Narrowing Surgery

Rib removal surgery is the end stage approach to waistline reduction. When every other conventional means has failed to achieve the desired effect, tissue support removal below the subcutaneous fat level is the last barrier to more narrow waistline. Surprising perhaps to some, patients that seek this surgery usually already have fairly small waistlines. Their Read More…

OR Snapshots – The Anatomy of the Floating Ribs in Waistline Narrowing Surgery

The lowest end of the rib cage is known as the floating ribs. (#s 11 and 12) A rib is defined as floating if its end is not attached to either another rib above it (like #10) or to the sternum. (like ribs # 6, 7 or 8) In rare cases rib #10 may also Read More…