AVAN TOKYO’s philosophy behind RIBXCAR (Rib Remodeling Surgery)

One of the latest body contouring trends becoming increasingly popular in the US and South America is:

“RIBXCAR” (Rib Remodeling Surgery)

Particularly in:

• Miami
• Beverly Hills
• Colombia
• Brazil

high-end body contouring is evolving toward:

“Rib Remodeling + Waist Liposuction + Fat Transfer Breast Augmentation”

to redesign the entire upper body silhouette.

At AVAN TOKYO, we believe that:

“The position of the waist itself”

can be redesigned.

Waistlines are influenced by bone structure

Many people think:

“Removing fat creates a waistline.”

However, in reality,

skeletal anatomy plays a major role.

Factors such as:

• Rib flare
• Rib angle
• Pelvic width
• Distance between ribs and pelvis
• Waist height

all dramatically affect body proportions.

This means that:

liposuction alone has limitations.

What is RIBXCAR?

RIBXCAR is a procedure that reshapes the lower ribs (mainly ribs 10–12) to narrow the waistline from the skeletal level.

At AVAN TOKYO, we do not remove the ribs.

Instead:

controlled partial fractures

are created using specialized instruments, and the ribs are repositioned inward with long-term corset fixation.

In other words:

the skeletal frame itself is redesigned.

Ideal candidates

RIBXCAR may be suitable for patients who:

• Are already relatively slim
• Have limited improvement potential from liposuction alone
• Have strong rib flare
• Feel their waist appears “straight” despite being thin
• Desire a higher-level body contour

Procedure flow

The surgery is performed under:

general anesthesia

with anesthesiologist support.

Typical flow:

1. Design and evaluation
2. Waist liposuction
3. Rib remodeling
4. Corset fixation
5. Fat transfer breast augmentation if needed

Risks and downtime

RIBXCAR is a relatively invasive body contouring procedure.

Possible risks include:

• Pneumothorax
• Pain
• Swelling
• Asymmetry
• Relapse
• Infection
• Chronic discomfort

Long-term corset fixation is extremely important to maintain the result.

AVAN TOKYO’s approach to body contouring

At AVAN TOKYO, we focus not only on fat removal, but also on:

bone structure, skin, muscle, and overall body balance.

By combining:

• Rib remodeling
• Waist liposuction
• Fat transfer breast augmentation
• Hybrid breast augmentation

we aim to create:

“a naturally elegant upper body silhouette.”