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Related Experiment Video

Updated: Aug 7, 2025

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
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Ant Waist Surgery: Aesthetic Removal of Floating Ribs to Decrease the Waist-hip Ratio.

Yen-Hao Chiu1,2, Yu-Jen Chiu3,4,5, Chia-Chun Lee3

  • 1Justmake Plastic Clinic, Taipei, Taiwan.

Plastic and Reconstructive Surgery. Global Open
|March 9, 2023
PubMed
Summary
This summary is machine-generated.

Floating rib removal, or "ant waist" surgery, effectively reduces waist circumference for aesthetic body contouring. This safe and simple procedure resulted in significant waist-to-hip ratio reduction and high patient satisfaction.

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Body Contouring

Background:

  • Waist circumference reduction is a key goal in aesthetic surgery for achieving an hourglass figure.
  • Traditional methods include lipomodeling and abdominal muscle strengthening.
  • Resection of the 11th and 12th ribs (floating ribs) is an adjunctive procedure for waistline contouring.

Purpose of the Study:

  • To analyze clinical outcomes and patient satisfaction following "ant waist" surgery (floating rib removal) for aesthetic purposes.
  • To evaluate the effectiveness of floating rib resection in reducing waist circumference.

Main Methods:

  • Retrospective review of five patients undergoing bilateral 11th and 12th rib resections.
  • Data collected included resected rib lengths, pre- and post-operative waist-to-hip ratio, and patient-reported satisfaction.
  • Procedure performed in an outpatient setting.

Main Results:

  • Mean resected lengths: 9.1 cm (left 11th rib), 9.5 cm (right 11th rib), 6.3 cm (left 12th rib), 6.4 cm (right 12th rib).
  • Mean waist-to-hip ratio decreased by 7.7% (from 0.78 to 0.72).
  • No adverse events were reported; all patients expressed satisfaction.

Conclusions:

  • Floating rib resection is a safe, simple, and effective technique for decreasing waist-to-hip ratio.
  • The "ant waist" surgery demonstrates potential for waistline contouring with minimal complications.
  • Further research is warranted to explore this technique more comprehensively.