Rib repositioning is a specialized surgical procedure that aims to sculpt a patient’s waistline and slim their torso by adjusting the position of the ribs. This procedure can help patients achieve an ideal hourglass physique that heightens their confidence. (1)
Because these procedures adjust the position of the ribs, many patients are uncertain about its safety and may opt for other procedures like tummy tucks, liposuction, Brazilian Butt Lifts, or more. Advancements in rib repositioning techniques have made the procedure safer and more effective, providing patients with both enhanced results and greater peace of mind.
In this comprehensive guide, we will explore rib repositioning in-depth to help you better understand the procedure and its safety profile.
If you would like to explore this procedure further, we recommend that you schedule a consultation with one of the expert surgeons at Austin Plastic Surgeon. Our professionals are among some of the leading plastic surgery specialists in the greater Austin area, and we have helped thousands of patients achieve their ideal image through a wide array of procedures. Scheduling a consultation can help you explore your rib repositioning options. Schedule a consultation today by submitting our online contact form. If you have any questions, please feel free to call your closest office directly to speak with one of our staff members.
Contents
About Rib Repositioning and Its Safety
Rib repositioning is a cosmetic procedure that adjusts the position of the ribs to achieve an attractive waist-to-hip ratio, the ideal ratio being 0.65 to 0.7. (1) Many individuals desire an hourglass figure, and while liposuction, body lifts, Brazilian Butt Lifts, and tummy tucks can be effective, repositioning the lower ribs is still the preferred method for some patients seeking more dramatic or long-lasting results. (1)
Our ribcage plays a significant role in protecting vital organs like our heart and lungs and facilitating proper respiratory function. The ribs attach to the spine at the back and connect to the sternum (breastbone) at the front through cartilage. Proper alignment ensures that our breathing mechanics function optimally and reduces strain on surrounding muscles and nerves.
In rib repositioning procedures, only the 10th, 11th, and 12th ribs are repositioned to sculpt a slim waistline. (2)
Safety Aspects
Rib repositioning involves moving or reshaping the targeted ribs rather than removing them. This maintains the integrity of the ribcage and its function in protecting organs and supporting breathing. The surgeon will use smaller incisions and less aggressive methods, which reduce the risk of infection, scarring, and healing complications. Rib repositioning also offers less trauma to the body than rib removal. (2) No removal means less disruption to nerves, muscles, and blood vessels, and it reduces the risk of puncturing the pleura (the membrane around the lungs), which can cause a collapsed lung (pneumothorax). With modern techniques, patients often see quicker recovery times. (3)
Benefits
Rib repositioning offers numerous benefits for patients looking for a safe and effective procedure to achieve their ideal figures. Under the expertise of the surgeons at Austin Plastic Surgeon, patients also experience benefits like:
- Preserved rib function: Repositioning shifts the lower ribs rather than removing them, so they still support your breathing and protect organs.
- Reduced surgical risk: Because the rib is not removed, the risk of complications is lower.
- Less invasive procedure: Ribs can be repositioned through small incisions and with ultrasound technologies.
- Improved confidence: Rib repositioning can increase a patient’s confidence and self-esteem by helping them achieve their body goals.
Candidates
Rib repositioning is usually ideal for candidates who are at or near a stable weight but have not achieved their ideal body image through either dieting and exercise or other body contouring procedures. Patients should be in good overall health and keep realistic expectations for the results of their procedure. A consultation with one of the experts at Austin Plastic Surgeon will help to further determine candidacy for a rib repositioning procedure.
Personal Consultation
A personal consultation at Austin Plastic Surgeon is essential for evaluating your eligibility for rib repositioning. During this meeting, your surgeon will conduct a thorough assessment that includes:
- Discussing your medical history, symptoms, and goals.
- Performing a physical examination focusing on rib alignment and functionality.
- Reviewing imaging studies such as X-rays or CT scans (if necessary).
- Outlining the most suitable options based on your body structure and goals.
This consultation allows you to ask any questions and address concerns while allowing your surgeon to create a customized surgical plan that aligns with your needs. This consultation is a vital step in planning a safe and effective procedure. Schedule yours today by either submitting our online contact form or by calling any of our offices directly.
Preparation
Preoperative preparation is crucial for optimizing the success of your rib repositioning procedure. After establishing a treatment plan, patients will receive guidelines to follow to prepare for their procedure. Patients may be asked to alter their medication regimen, especially if they regularly take blood-thinning medications or supplements. Patients who smoke or use other nicotine products will be asked to quit before treatment and during their recovery. All patients will be required to fast before the day of their procedure as well, and they should plan for time away from work or other obligations to focus on recovery.
Procedure
You will be placed under general anesthesia during your rib repositioning procedure. Supplemental local anesthetic may also be applied to minimize postoperative discomfort. Your surgeon will identify the ribs to reposition and then make a small incision near each one. A specialized ultrasonic probe will be inserted to cut the ribs and reposition them without damaging any surrounding tissues. (3) After realignment, the incisions will be carefully closed, utilizing sutures or adhesive strips depending on the technique used.
You will be observed in a recovery area until cleared by the medical team. Overall, the procedure may last from one and a half to three hours depending on your unique goals. You will be given more procedural information during your consultation as well.
Recovery
Recovery following rib repositioning varies based on the extent of the surgery. Patients are recommended to rest and avoid strenuous activities for several weeks. Discomfort while healing can be managed with prescribed medications, and these should be taken as instructed. Our team will schedule follow-up appointments for you to attend, allowing us to monitor your healing progress and manage any complications. Some patients may be recommended to engage in light rehabilitative exercises as well.
Most patients return to routine activities within six to eight weeks, although full recovery may take longer depending on individual medical history.
Results
Following a rib repositioning procedure, patients will notice a slimmer figure and a smaller waistline. They may also see accentuated hip contours and shapelier buttocks. Patients report heightened confidence and satisfaction with their new figures.
Corresponding Procedures
Rib repositioning procedures can be combined with multiple other treatments, including Brazilian Butt Lifts, tummy tucks, breast procedures, and more, all of which can address multiple concerns in one session, decreasing total costs and recovery times. If you are interested in combining procedures, please explore our rib repositioning page or inquire about your options during your consultation.
Cost of Rib Repositioning in Austin
The cost of your rib repositioning treatment will depend on several factors, including your personal goals, the scale of your procedure, your medical history, and more. Our rib repositioning procedures start at $9,500, but this may change depending on the circumstances of your procedure. Our plastic surgery pricing page can help you explore these costs further.
Schedule a consultation today to learn more about the benefits you can experience through a safe and effective rib repositioning procedure. If you have any further questions, please call any of our Austin-area offices directly:
FAQ
Is rib repositioning safe?
When performed by an experienced and licensed plastic surgeon, rib repositioning is a safe procedure without a lengthy recovery.
What can I expect during my rib repositioning consultation?
During the consultation, we will discuss your concerns, evaluate your rib structure, and recommend the best approach for rib repositioning.
How long does it take to recover from rib repositioning?
Recovery times vary depending on the individual and the type of surgery performed, but a full recovery may take six to eight weeks.
Will I experience pain after my rib repositioning procedure?
Some discomfort or pain is expected after surgery; however, pain management strategies will be discussed to minimize your discomfort during the recovery phase.
Are there any risks associated with rib repositioning?
As with any surgical procedure, there are potential risks such as infection, bleeding, and complications from anesthesia. Your surgeon will discuss these risks extensively during the consultation.
References
- Chiu YH, Chiu Y, Lee CC, Wang T, Lee JL. Ant Waist Surgery: Aesthetic Removal of Floating Ribs to Decrease the Waist-hip Ratio. Plastic and reconstructive surgery Global open. 2023;11(3):e4852-e4852. doi:https://doi.org/10.1097/gox.0000000000004852
- Manzaneda RM, Adrianzen GA. Waist Reduction through Conversion from False to Floating Ribs. Plastic and Reconstructive Surgery – Global Open. 2024;12(6):e5900. doi:https://doi.org/10.1097/gox.0000000000005900
- Ferreira LM, Bonin GS, Bernardes ABS, et al. Is There Scientific Evidence on the Practice of Rib Resection or Remodeling for Body Contouring Purposes?-A Systematic Review. Aesthetic plastic surgery. Published online Spring 2025:10.1007/s00266-02504685-3. doi:https://doi.org/10.1007/s00266-025-04685-3
