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Rib Remodeling

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Create a narrower, more traditionally feminine waistline with rib remodeling—a surgical option for transfeminine and gender-diverse individuals seeking enhanced curves. At Transitions, our expert surgeons Dr. Leif Rogers and Dr. Walter J. Joseph use advanced techniques to deliver safe, natural-looking results that help align your body with your true identity.

Achieve a tapered waistline and feminine silhouette

Rib remodeling is a surgical procedure that reduces the width of the lower rib cage to create a more tapered waistline and accentuate an hourglass silhouette. It’s especially beneficial for transfeminine individuals and gender-expansive patients seeking a more traditionally feminine torso shape. This procedure typically focuses on the 11th and 12th ribs—known as the floating ribs—because they can be safely shortened or removed without compromising essential respiratory function or organ protection.

During the procedure, our surgeons access the ribcage through discreet incisions along the back or side of the body. The selected ribs are contoured, reshaped, or partially removed to reduce flaring and improve waist definition. Because this part of the ribcage contributes minimally to structural support, rib remodeling is safe and effective when performed by an experienced, board-certified surgical team like ours at Transitions.

Rib remodeling can address these concerns:

  • Having a wide or boxy waistline that lacks curvature
  • Difficulty achieving a feminine silhouette through hormone therapy alone
  • Rib flaring that disrupts body contour balance
  • Lack of definition between the waist and hips
  • Feeling that the torso appears too masculine or straight

Do I qualify for rib remodeling?

You may be a good candidate for rib remodeling if you’re a transfeminine or gender-diverse individual seeking a more defined waistline and hourglass shape. This procedure is often chosen by those who have already undergone other forms of body contouring or hormone therapy but still desire a narrower torso.

During your consultation, our surgeons will evaluate your anatomy, health history, and goals. Imaging and physical assessment will help determine whether your ribs, body proportions, and skin elasticity are suitable for safe modification. We’ll also discuss your expectations and create a fully personalized surgical plan to align with your vision for your body.

What are the benefits of rib remodeling?

Rib remodeling offers a unique solution for individuals looking to enhance their body’s natural curves, especially when other techniques haven’t fully achieved the desired silhouette. By focusing on the structure of the lower ribcage, this procedure can significantly improve the waist-to-hip ratio. Here are some key advantages of rib remodeling:

  • Creating a more tapered, feminine waistline
  • Enhancing the overall hourglass body shape
  • Reducing rib flare that can limit contouring from other procedures
  • Improving results of previous or concurrent body contouring surgeries
  • Permanent structural changes for long-term satisfaction
  • Aligning body appearance with gender identity

The day of your rib remodeling surgery

On the day of your rib remodeling, you’ll arrive at our in-house surgical facility, where our team will guide you through pre-operative preparations. You’ll be placed under general anesthesia to ensure a comfortable experience. Our surgeons will make discreet incisions along your lower back or side, allowing access to the 11th and 12th ribs—commonly known as the floating ribs.

Using precise surgical techniques, these ribs will be carefully reshaped or partially removed to reduce waist width. Once rib contouring is complete, the incisions are closed with meticulous suturing to minimize scarring. You’ll be monitored closely in our recovery suite before being discharged or transferred to our dedicated aftercare facility, depending on your recovery plan.

Your recovery experience after rib remodeling

After your rib remodeling surgery, you can expect some soreness, swelling, and tightness around your waist and lower back. These symptoms are normal and typically well-managed with prescribed pain medication. You’ll be given a compression garment to help reduce swelling and support your healing ribcage. Most patients take about one to two weeks off from work or daily activities, depending on the physical demands of their lifestyle.

You’ll have detailed post-operative instructions and follow-ups with our team to monitor your healing. While you’ll start seeing changes in your waistline within the first few weeks, the final results become more noticeable as swelling resolves over the next few months. Our surgeons and recovery specialists will be available to support you through every stage.

Transition into your authentic self

Transitions is here to help you achieve the body shape that reflects your true identity. With expert care from Dr. Rogers and Dr. Joseph, rib remodeling can help refine your waistline and elevate your confidence. Schedule your consultation for rib remodeling in Pasadena or Beverly Hills, and take the next step toward becoming your most authentic self.

Redefining

Gender-Affirming

Care & Aesthetics

Transitions: Where Your True Self Emerges

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