— Rib Remodeling: Redefining the Structure of the Waist —

In recent years, a new approach to body contouring has gained popularity in the US and Europe:

Rib Remodeling × Waist Liposuction × Fat Grafting Breast Augmentation

This combined strategy allows for the creation of a structurally refined waistline that cannot be achieved through liposuction alone.

Why Liposuction Alone Has Limitations

The shape of the waist is not determined solely by fat volume.

Key factors include:

• Rib cage angle
• Skeletal width
• Position of the waist indentation

While liposuction can reduce volume, it does not change the underlying bone structure.

As a result:

• The waist position may remain unchanged
• The contour may appear less defined
• The ideal S-curve may not be achieved

What Is Rib Remodeling?

Rib remodeling is a procedure that modifies the angle of the lower ribs to redesign the waistline.

This allows for:

• A deeper inward curve of the waist
• Optimization of the waist position
• Improved overall upper body silhouette

Case Study: 1 Week Post-Op

This patient underwent:

• Waist liposuction (approx. 2200cc of pure fat removal)
• Rib remodeling
• Fat grafting breast augmentation

The patient had previously undergone abdominal and flank liposuction overseas and already had a defined waist.

By adjusting the rib angle, we were able to

reposition the waist to its most aesthetically optimal location.

Although swelling is still significant at 1 week post-op,

changes in both the position and angle of the waistline are already visible.

True Waist Design Is About Position

A common misconception is that having a waist is enough.

In reality, what matters most is

where the waist is positioned.

Rib remodeling enables us to:

• Relocate the waist to the most visually flattering point
• Enhance overall body proportions

The AVAN TOKYO Structural Approach

At AVAN TOKYO, we focus not only on fat, but also on skeletal structure, including:

• Ribs
• Clavicle
• Scapula

By adjusting structural projection when necessary, we achieve:

• A more refined silhouette
• Enhanced appearance in fitted clothing and dresses
• Improved three-dimensional contour

Ideal Candidates

• Patients dissatisfied after liposuction
• Those who want to change the position of their waist
• Patients seeking a more defined S-line
• Individuals aiming for a Western-style body contour

Total Body Design

At AVAN TOKYO, we combine:

Fat reduction × Structural adjustment × Fat redistribution

to achieve results beyond conventional procedures.

Beauty Is Defined by Structure

Body contour is determined not only by fat, but by:

Structure × Volume × Placement