Rib Remodeling: A Safe, Minimally Invasive Approach to Waist Contouring
At Gallagher Plastic Surgery, we are pleased to offer rib remodeling or Ribxcar, a highly effective, minimally invasive procedure designed to sculpt the waistline, especially beneficial for those assigned male at birth seeking torso feminization. Many individuals struggle with achieving a feminine waistline through diet, exercise, or traditional body contouring procedures, particularly due to the anatomy of the10th, 11th and 12th ribs, which can prevent the desired shape.
Why Rib Remodeling (Ribxcar)?
For individuals with a boxier, more squared torso—often characteristic of those assigned male at birth but many cisgender women too—standard body contouring techniques like liposuction or tummy tucks may not achieve the desired waist definition. This is due to anatomical factors such as:
- More splayed ribs and a wider thorax.
- A shorter distance between the lower ribs and pelvic bones.
Even when traditional methods are used, achieving a feminine waistline can be challenging without addressing the lower ribs themselves. Rib remodeling offers a solution by reshaping these ribs, allowing for a more contoured and curvier appearance.
The Procedure
Rib remodeling is performed using an advanced technique that ensures minimal scarring and optimal results. During the procedure:
- A small, needle-sized puncture is made just above the rib, through which a piezotome device is introduced. This device safely transects one of the rib’s cortices, allowing the rib to become more flexible for reshaping.
- The ribs are then carefully molded, providing a more tapered waistline without the need for visible scars.
- The surgery typically lasts around one hour and is performed under general anesthesia.
Patients can expect to lose up to 3-4 inches off their waistline, with gradual improvement over the following three months as the body adapts to its new shape in a corset.
Recovery Process
Post-surgery, patients will wear a corset for approximately three months. This corset is vital for:
- Supporting the newly shaped waist.
- Gradually molding the torso into its final, contoured form.
- Ensuring a natural and aesthetically pleasing result.
Most patients can leave the surgery center within two hours after the procedure and will stay in Miami for about a week for initial recovery and follow-up care.
Who Can Benefit from Rib Remodeling?
This procedure is particularly effective for patients assigned male at birth who have anatomical challenges that prevent achieving a feminine waistline through non-surgical methods. However, many cisgender women may also have a rib shape that prevents having curves. Rib remodeling directly addresses these challenges by altering the structure of the lower ribs, creating a more contoured, feminine appearance. The minimally invasive approach ensures minimal scarring and a smooth, natural outcome.
Why Choose Dr. Gallagher?
Dr. Sidhbh Gallagher is a leader in advanced plastic surgery techniques, including rib remodeling. With a deep understanding of both the aesthetic and anatomical aspects of body contouring, Dr. Gallagher ensures that each patient receives personalized care and the best possible results. Her experience in gender-affirming procedures and commitment to patient safety and satisfaction make her a top choice for those seeking a more contoured and feminine torso.
If you’re considering rib remodeling or want to learn more about how this procedure can help you achieve your aesthetic goals, contact Gallagher Plastic Surgery today to schedule a consultation.
Frequently Asked Questions
Is rib remodeling via the minimally invasive technique safe?
Yes, this procedure has proven to be very safe based on studies. The surgery focuses on the 10th, 11th, and 12th ribs, which are located below the level of the lungs. As a result, the procedure does not interfere with lung function, making it a safe option for patients.
Is rib remodeling painful?
Most patients experience minimal pain after the surgery and can manage discomfort with ibuprofen. In some cases, stronger pain medication may be required, and it will be prescribed as needed.
What is postoperative care like?
After surgery, patients are required to wear a corset for three months to ensure proper healing and support. During this period, exercise should be avoided. Recovery time typically ranges from one to two weeks, depending on the patient’s job and individual healing process. If combined with other procedures such as liposuction, fat grafting, or tummy tucks, the recovery time may be extended.
Can rib scar surgery be done alone?
Yes, rib remodeling can be performed as a standalone procedure or in combination with other surgeries such as liposuction, fat grafting, or a tummy tuck. Many patients also choose to combine rib remodeling with top surgery or certain aspects of bottom surgery, such as labiaplasty, to achieve their desired results.
Is rib remodeling effective?
Yes, rib remodeling is highly effective when patients follow the postoperative care instructions, particularly by wearing the corset for the recommended duration. Many patients have successfully reduced their waist size by 3 to 4 inches as a result of the procedure.
Who is the ideal candidate for this procedure?
The ideal candidates for rib remodeling are individuals who desire a smaller waist, have a body mass index (BMI) of less than 30, and possess good bone density. Additionally, candidates should have the appropriate anatomy to achieve the desired waist reduction and meet the medical criteria for the procedure.
