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A highly specialized procedure designed to subtly narrow the waist and enhance torso proportions. Whether performed as a standalone surgery or combined with body contouring procedures, rib remodeling can refine the shape of the midsection and create a more balanced, sculpted silhouette. With advanced expertise and an uncompromising focus on patient safety, our board-certified surgeons deliver results that are both sophisticated and natural.


Aesthetic rib cage remodeling, sometimes referred to as rib contouring or rib repositioning surgery.
Is a surgical procedure that modifies the lower ribs to achieve a slimmer, more tapered waistline. At West End Plastic Surgery, our surgeons use refined techniques to safely reduce rib projection, giving patients a smoother, more contoured torso. This procedure is often chosen by individuals who have not achieved their desired results through diet, exercise, or other body contouring methods.
The rib remodeling or rib repositioning procedure is performed under general anesthesia.
During the procedure, small incisions are made to access and carefully contour the targeted lower ribs, typically the floating ribs. Depending on the patient’s goals, the surgery may involve rib removal or reshaping to create a more defined waistline. Incisions are placed meticulously to ensure minimal scarring and achieve a natural-looking result.
The procedure usually takes several hours and is commonly paired with other body contouring procedures, such as liposuction or abdominoplasty, to remove excess skin or fat for a more comprehensive transformation. In patients who choose to include a tummy tuck in their treatment, the abdominal muscles may also be tightened. During your consultation, your surgeon will work with you to create a precise, personalized treatment plan that supports your highest and longest-lasting satisfaction.

Rib remodeling specifically targets the lower ribcage to influence the shape and contour of the waist and torso.


Ideal candidates for rib remodeling are:
Most patients take 1–2 weeks away from work and regular activities, with light movement encouraged soon after surgery to aid healing.
Full return to exercise typically occurs within 4–6 weeks. Temporary swelling, soreness, and tightness in the torso are normal and subside with time. At West End Plastic Surgery, our team provides detailed aftercare guidance, including the use of compression garments and activity modifications, to ensure the smoothest possible recovery.


Results are visible once initial swelling subsides, with the final outcome continuing to refine over several months. Patients enjoy a slimmer waistline, smoother torso, and enhanced proportions that complement their natural frame. Rib remodeling produces lasting results, especially when supported by a healthy lifestyle, and offers patients a renewed sense of balance and confidence in their body’s appearance.
Rib remodeling is a highly specialized surgical procedure that requires advanced skill and experience.
At West End Plastic Surgery, our board-certified plastic surgeons, including Dr. Paul Ruff, recognized as a Castle Connolly and Washingtonian Top Doctor, bring over two decades of expertise in complex body contouring. With a commitment to safety, precision, and natural-looking results, we are proud to be among the leading practices in Washington, D.C., offering this innovative procedure.
Yes. When performed by experienced, board-certified surgeons, rib remodeling is considered safe. At West End Plastic Surgery, every procedure is tailored to the patient's anatomy and performed with the highest safety standards to preserve the protective function of your ribcage.
Yes. Many patients choose to combine rib remodeling with liposuction, tummy tuck, or other body contouring procedures for a more comprehensive result.
Rib remodeling delivers permanent changes to the rib structure, meaning results are long-lasting. Maintaining a stable weight and a healthy lifestyle will help preserve your outcome.
Incisions are placed in discreet locations and tend to heal well over time. Our surgeons use meticulous closure techniques to minimize scarring.
Some soreness, mild pain, or tightness in the torso is expected, but discomfort is well-managed with prescribed medication and typically improves significantly within the first week.