— The Next Generation of Waist Design Popular in Western Aesthetic Surgery —

In recent years, RIBXCAR (Rib Remodeling Surgery) has gained major popularity in Western countries as one of the most advanced body contouring procedures.

Unlike traditional liposuction, which mainly targets subcutaneous fat, RIBXCAR reshapes the rib angle and projection, allowing surgeons to create a more dramatic, sculpted, and naturally defined waistline.

■ Case Overview

This case features a 28-year-old woman who previously underwent abdominal and waist liposuction in Korea, already achieving a noticeable waist curve.

At AVAN TOKYO GINZA LIPOSUCTION CLINIC, we refined her body shape further through:

• RIBXCAR (Rib Remodeling Surgery) to adjust the rib angle and position
• Liposuction of 2,200 cc of pure fat to reduce volume and highlight contour
• Fat transfer breast augmentation to enhance upper body balance

At just 1 week post-op, although swelling and bruising are still prominent, you can already see the improved curve and position of the waistline.

■ What Is RIBXCAR?

RIBXCAR involves reshaping the outer ribs to reduce rib flare and enhance waist definition.

By addressing the skeletal structure rather than fat alone, this technique enables an elegant hourglass silhouette that cannot be achieved through liposuction alone.

This procedure is especially suitable for:

• Patients whose waistline still looks wide even after liposuction
• Those seeking to reposition and elevate the waist curve
• Individuals aiming for a more Western-style “S-curve” silhouette

■ Combined Body Design

At AVAN TOKYO GINZA LIPOSUCTION CLINIC, we focus on full-body harmony.

Beyond fat removal, we also offer skeletal line refinement — including the ribs, clavicle, and scapula — to elevate the overall aesthetic balance.

By combining liposuction, fat grafting, and RIBXCAR, we achieve a sophisticated and proportional figure tailored to each patient’s anatomy.

■ Risks and Considerations

Because RIBXCAR involves structural modification, it is a highly advanced surgical procedure.

Possible risks include:

• Pneumothorax
• Hemothorax
• Bleeding or infection
• Temporary pain or swelling

Proper preoperative evaluation and precise technique are essential to minimize these risks.

■ In Summary

The combination of RIBXCAR + waist liposuction + fat transfer represents the next evolution in body design — refining not only soft tissue but also the underlying framework to achieve true aesthetic harmony.

At AVAN TOKYO GINZA LIPOSUCTION CLINIC, we are committed to designing a uniquely beautiful silhouette that highlights each patient’s natural proportions and elegance.

Schedule a consultation to explore personalized 3D body analysis and rib contour simulation — and discover your most refined waistline yet.