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Beyond Surface Contouring: Why We Offer Rib Remodeling

Certain waist proportions are dictated by skeletal structure, not fat or muscle alone. By addressing the rib framework itself, Micallef Plastic Surgery can offer select patients a refined silhouette that remains stable over time. This approach aligns with our philosophy of holistic body contouring: respecting form, preserving function, and achieving balance through precision rather than excess intervention.

What Is Rib Remodeling (RibXCar)?

Rib remodeling using the RibXCar technique is a minimally invasive skeletal contouring procedure designed to narrow the waist by repositioning—not removing—select lower ribs. Our surgeons use precise, controlled techniques to gently mobilize targeted ribs, allowing the rib cage to be reshaped safely and anatomically.

Here’s how RibXCar rib remodeling in San Antonio works:

  • Specific lower ribs are carefully identified based on each patient’s anatomy
  • Controlled, partial mobilization allows the ribs to shift without compromising structural integrity
  • A structured post-operative corset guides the ribs into their new, refined position during healing
  • Over several months, the bone stabilizes and heals in this new alignment

The result is a permanent reduction in waist circumference while preserving rib strength, organ protection, and normal function.

From a biological standpoint, this approach is supported by Wolff’s Law, a well-established orthopedic principle demonstrating that bone can adapt and remodel when exposed to controlled mechanical forces over time—allowing for lasting, predictable contour refinement.

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Benefits of Rib Remodeling for Waist Sculpting

  • Permanent narrowing of the waistline
  • Enhances hourglass proportions beyond liposuction alone
  • No rib removal and no compromise of organ protection
  • Minimally invasive access points with minimal visible scarring
  • Maintains normal breathing and core function in healthy patients
  • Can be combined with other body contouring procedures when appropriate

Are You a Candidate for Rib Remodeling?

Rib remodeling is a highly specialized procedure and is best suited for carefully selected patients.

You may be an appropriate candidate if you:

  • Are in good overall physical health with no uncontrolled medical conditions that would impair bone healing or anesthesia safety
  • Are a non-smoker or willing to discontinue nicotine use, as nicotine is known to significantly impair bone healing and vascular recovery
  • Maintain a stable body weight, as significant weight fluctuations can affect long-term contour outcomes
  • Have a waist width that is structurally influenced by rib anatomy, rather than primarily excess adipose tissue
  • Have normal bone density and no metabolic bone disorders that could interfere with proper remodeling or healing
  • Are able to commit fully to structured corset wear and follow post-operative activity restrictions, which are critical for safe and successful results
  • Seek a permanent skeletal contour change, rather than a temporary or non-structural solution
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Why Choose Micallef Plastic Surgery?

Micallef Plastic Surgery is led by a double-board-certified plastic and reconstructive surgeon, ensuring the highest standards of surgical training, anatomical expertise, and patient safety. This advanced training is especially critical for procedures involving skeletal anatomy, where precision and long-term structural integrity are essential. Our practice brings extensive experience in managing complex anatomy and reconstruction, allowing us to approach rib remodeling with a depth of understanding that extends beyond surface-level contouring.

Dr. Micallef’s military medical background further informs a safety-first, detail-driven approach to surgical planning, execution, and risk management. Equally important is our commitment to holistic post-operative care. We employ structured recovery protocols designed to support proper healing, optimize outcomes, and protect long-term results. Every treatment plan is individualized—guided by each patient’s unique skeletal structure, proportions, and goals—rather than relying on standardized templates.

What to Expect Before, During, and After

Consultation

  • Your consultation includes a detailed physical exam, imaging review when indicated, and an in-depth discussion of goals, anatomy, and recovery requirements
  • Pricing varies based on complexity and whether procedures are combined

Procedure

  • Target ribs are identified using imaging and anatomical landmarks
  • Local or twilight anesthesia may be used in appropriate candidates
  • Small access points allow precise rib mobilization
  • No bone is removed
  • A structured corset is fitted post-procedure immediately

Recovery and Results

  • You’ll wear a corset continuously during early healing
  • Light activity can be resumed in 7–10 days
  • Gradually return to exercise after 6 weeks
  • Full activity can resume after 3 months
  • Final results stabilize as bone healing completes, typically over several months
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Sculpt, Shape, and Redefine at Micallef Plastic Surgery

If you’ve reached the limits of traditional waist contouring and are seeking a permanent, anatomy-based solution, rib remodeling may be the next step. Contact us today to book your consultation and explore whether RibXCar rib remodeling in San Antonio aligns with your goals.

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FAQs

How much waist reduction can most patients realistically expect?

How is rib remodeling different from aggressive corset training alone?

Will rib remodeling affect my posture or spinal alignment?

What role does imaging play in surgical planning?

What are the risks and possible side effects of rib remodeling?

How long does discomfort typically last after the procedure?

Will rib remodeling change how my clothes fit?

Can rib remodeling be performed on patients who have already had body contouring surgery?

How much waist reduction can most patients realistically expect?

While results vary by anatomy, most appropriately selected patients experience a measurable and visible reduction in waist circumference, often noticeable once corset wear is complete and bone healing stabilizes. Final contour is influenced by rib shape, torso length, and adherence to recovery protocols.

How is rib remodeling different from aggressive corset training alone?

Corset training alone temporarily reshapes soft tissue. Rib remodeling addresses the underlying skeletal framework, allowing the ribs themselves to heal in a new position. This structural change is what enables lasting waist refinement rather than a short-term compression effect.

Will rib remodeling affect my posture or spinal alignment?

In healthy patients, rib remodeling does not alter spinal alignment or posture. Preoperative evaluation includes assessment for scoliosis or asymmetry to ensure the procedure enhances balance rather than disrupts it. The goal is proportional contour—not skeletal imbalance.

What role does imaging play in surgical planning?

Imaging helps your surgeon evaluate the shape, spacing, symmetry, and proximity of the ribs to surrounding structures. This allows for precise planning, improved safety, and a more natural-looking result tailored to your unique anatomy.

What are the risks and possible side effects of rib remodeling?

As with any surgical procedure, rib remodeling carries potential risks, though complications are uncommon in appropriately selected patients. Possible risks include uneven contouring, delayed bone healing, discomfort during recovery, or suboptimal results if post-operative corset protocols are not followed. Temporary soreness, swelling, or tightness is expected during healing. Thorough planning and adherence to recovery instructions significantly reduce these risks.

How long does discomfort typically last after the procedure?

Most patients describe the sensation as tightness or pressure rather than sharp pain, especially while wearing the corset. Discomfort generally improves over the first few weeks as healing progresses and is managed with a structured pain-control plan.

Will rib remodeling change how my clothes fit?

Yes. Patients often notice that clothing fits more smoothly through the waist, with improved definition and less need for tailoring. Many find they can size down in fitted garments once swelling resolves and results stabilize.

Can rib remodeling be performed on patients who have already had body contouring surgery?

In many cases, yes. Rib remodeling is often considered after liposuction or other contouring procedures when patients feel their waistline is still limited by bone structure rather than soft tissue.

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