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A Surgical Procedure for Resecting the Mouse Rib: A Model for Large-Scale Long Bone Repair

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Rib Remodeling (RibXcar) for Posterolateral Thoracic Deformities: A Prospective Cohort Study of Rib Angularity for

Raúl Manzaneda Cipriani¹, Gerardo Adrianzen¹, Paulo Junior Alberton Michels²

¹Private practice in Lima, Peru.

Aesthetic Surgery Journal

|May 31, 2026

Summary

This summary is machine-generated.

This study shows the RibXcar technique effectively remodels the chest wall for reconstructive purposes. Patients experienced significant waist reduction and high satisfaction one year post-surgery with no complications.

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Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

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Published on: September 13, 2020

Area of Science:

Plastic Surgery
Thoracic Surgery
Body Contouring

Background:

Waistline treatment for aesthetic purposes is a growing trend in body contouring surgery.
RibXcar, a minimally invasive technique, is gaining importance due to its effectiveness and safety.
Its use for reconstructive purposes has not been widely explored.

Purpose of the Study:

To examine the costochondral remodeling surgery process for thoracic deformities.
Evaluate complications and patient satisfaction with a one-year follow-up.
Assess the effectiveness of RibXcar for reconstructive chest wall surgery.

Main Methods:

Twenty female patients aged 18-40 with thoracic deformities underwent rib remodeling surgery.
Procedures included RibXcar or RibXcar + Rib Conversion Surgery (XONVERSIONRIBS).
Waist circumference reduction and postoperative satisfaction were assessed using the Body-Q survey.

Main Results:

A classification system was developed for surgical planning.
Type IIA deformities were most common (75%).
Average waist reduction was 10 cm one year post-surgery, with high patient satisfaction and no complications.

Conclusions:

The RibXcar technique is a comprehensive, minimally invasive approach for posterior chest wall remodeling.
It is safe and effective for reconstructive treatment of posterior or lateral chest wall deformities.
One year postoperatively, patients report statistically significant high levels of satisfaction.