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    Body Contouring

    Elevé Cosmetic Surgery Now Offers RibXcar: The Scarless Rib Remodeling Technique

    A permanently defined waistline through ultrasound-guided reshaping of the lower ribs, with no bone removal and no visible scars.

    Dr. Gevork Tatarian
    By Dr. Gevork TatarianDouble Board-Certified Cosmetic SurgeonPublished July 11, 2026 · 6 min read · Updated July 11, 2026
    Editorial image of a defined feminine waistline, representing the scarless, permanent contour possible with RibXcar rib remodeling at Elevé Cosmetic Surgery

    Quick Answer

    RibXcar is a scarless, ultrasound-guided procedure that permanently narrows the waist by reshaping the lower floating ribs, without removing any bone. Elevé Cosmetic Surgery is now offering RibXcar in Davie, Florida, with Dr. Gevork Tatarian trained directly in the technique. The procedure can be performed standalone or combined with tummy tuck, Level Up Tuck, 360 liposuction, or BBL for a comprehensive body contouring result.

    A New Option for a Permanently Defined Waist

    For decades, patients seeking dramatic waist definition had two options: temporary shaping through corset training, or highly invasive rib removal surgery. Rib removal is permanent, structurally altering, and leaves visible scars.

    RibXcar changes that equation. Developed by Peruvian plastic surgeon Dr. Raúl M. Manzaneda Cipriani and first performed in late 2022, the technique uses ultrasound guidance and a piezotome device to precisely reshape ribs 10, 11, and 12, the floating ribs that define the waist, without removing any bone.

    How RibXcar Works

    • Ultrasound mapping. Before any adjustment, Dr. Tatarian uses medical ultrasound to precisely map your 10th, 11th, and 12th ribs.
    • Sub-millimeter puncture. Access is through a puncture less than 1 mm wide, with no scalpel incision and no visible scar once healed.
    • Monocortical fracture. A piezotome ultrasonic device creates a controlled fracture on the outer layer of the rib, leaving the inner cortex intact.
    • Repositioning. Each targeted rib is gently repositioned inward to narrow the waist. Nothing is removed.
    • Compression garment. Worn for 2 to 3 months to hold the ribs in their new position while natural bone healing locks in the shape.

    Trained Directly in the Technique

    Only a small number of surgeons in the United States are formally trained in RibXcar. Dr. Gevork Tatarian completed hands-on training under Dr. Manzaneda Cipriani in the authentic technique, including safety protocols, patient selection, and post-operative management.

    We pursued this training because our patients deserve access to the most advanced, evidence-based techniques in body contouring. RibXcar meets that standard.

    Who Is a Good Candidate?

    • Adults close to their goal weight who want permanent waist definition.
    • Patients with a naturally straight or boxy waistline that does not respond to diet or exercise.
    • Post-pregnancy or post-weight-loss patients whose ribcage has widened.
    • Patients considering tummy tuck, 360 liposuction, BBL, or Level Up Tuck who want to add structural waist narrowing to their result.
    • Non-smokers in good general health, at least 22 years old, willing to commit to the compression garment protocol.

    Recovery at a Glance

    • Week 1: Rest, garment worn 24/7, mild pressure and tightness.
    • Weeks 2 to 3: Return to desk-based work, driving, light activity.
    • Weeks 4 to 6: Light cardio; full gym clearance typically at week 6.
    • Months 3 to 6: Ribs fully stabilize in new position; final result visible.
    • Full recovery details are covered in our dedicated recovery guide.
    Recovery varies. Always follow your individualized post-op instructions; the timeline above is a general reference, not a guarantee.

    Why Choose Elevé for RibXcar

    Frequently Asked Questions

    Individual results vary. All surgical procedures carry risks. This content is educational and does not constitute medical advice.

    Schedule Your Consultation

    Book a consultation with Dr. Tatarian in Davie. We'll evaluate your anatomy, listen to your goals, and walk you through whether standalone RibXcar or an integrated body contouring plan is the right approach for you.

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