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    Body Contouring

    How RibXcar Pairs With Tummy Tuck, 360 Lipo, and BBL for a Full Body Transformation

    RibXcar reshapes bone. Liposuction reshapes fat. Tummy tuck reshapes skin. BBL adds hip projection. Combined, they deliver a silhouette none of them can achieve alone.

    Dr. Gevork Tatarian
    By Dr. Gevork TatarianDouble Board-Certified Cosmetic SurgeonPublished July 11, 2026 · 8 min read · Updated July 11, 2026
    Editorial still life symbolizing balance and harmony of combined body contouring procedures at Elevé Cosmetic Surgery

    Quick Answer

    Truly transformative body contouring almost always requires more than one procedure. RibXcar reshapes the underlying bony structure of the waist. 360 liposuction removes fat circumferentially. Tummy tuck and Level Up Tuck tighten skin and muscle. BBL adds hip projection for hourglass contrast. At Elevé, we regularly combine two or more of these procedures in a single surgical session to deliver dramatic, harmonious, and lasting results.

    RibXcar + 360 Liposuction: The Most Common Combination

    • Lipo removes fat. It thins the torso circumferentially.
    • RibXcar reshapes bone. It permanently narrows the ribcage.
    • Together, they define the waist from every angle. Fat removal reveals the underlying structural change. Structural change gives the fat removal a dramatic shape to reveal.

    Both procedures can safely be performed in the same surgical session for appropriate candidates.

    RibXcar + Tummy Tuck or Level Up Tuck

    For patients with loose abdominal skin, separated muscle (diastasis recti), or significant post-pregnancy or post-weight-loss changes, a tummy tuck or Dr. Tatarian's signature Level Up Tuck addresses skin and muscle directly.

    Combining RibXcar with tummy tuck is powerful because:

    • The tummy tuck delivers a taut, flat abdominal wall.
    • RibXcar sculpts the ribcage above it into a defined taper.
    • Together they create a visually harmonious transition from ribs to waist to abdomen.

    This combination is more complex than lipo + RibXcar alone. Dr. Tatarian carefully evaluates whether combining these in one session is appropriate for you or whether staging makes more sense.

    RibXcar + BBL

    The BBL enhances hip and buttock projection by transferring your own liposuctioned fat. It is fundamentally about creating contrast: a smaller waist visually against a rounder hip and buttock.

    RibXcar amplifies exactly what BBL is trying to do:

    • A more sculpted waist makes BBL projection look proportionally more dramatic.
    • The fat removed during BBL's lipo portion is used to enhance the hips and buttocks.
    • For patients whose goal is an hourglass shape with defined hip-to-waist ratio, RibXcar + 360 lipo + BBL delivers the most.

    RibXcar as Part of a Mommy Makeover

    The mommy makeover typically combines abdominal work, breast rejuvenation, and often liposuction. Adding RibXcar to a mommy makeover is possible for the right candidate, particularly for patients whose ribcage flared during pregnancy and now feel their waist has permanently widened.

    For any mommy makeover incorporating RibXcar, Dr. Tatarian carefully evaluates total surgical time, anesthesia considerations, and recovery capacity to determine whether staging is safer than combining everything in a single day.

    Recovery When Combining Procedures

    Combining procedures does not linearly stack their recoveries. Two 3-week recoveries do not become a 6-week recovery. They typically become a slightly longer version of the more demanding procedure. That said, combined surgery does mean more soreness in more places and demands a more disciplined recovery period.

    For most patients, the tradeoff is very much worth it: one anesthesia, one coordinated recovery window, one dramatic overall result.

    Recovery varies. Your specific plan and timeline are set at consultation, not by a general reference.

    How We Plan Combination Surgery at Elevé

    During your consultation, Dr. Tatarian will:

    • Review your goals in full.
    • Assess your anatomy from every angle.
    • Discuss which procedures would contribute meaningfully to your result.
    • Determine what is safe to combine in a single session versus what should be staged.
    • Present a written surgical plan and total investment.
    • Give you time to consider before you commit.

    We do not push combinations for the sake of combining. We recommend what actually serves your outcome.

    Why Choose Elevé

    • Body contouring specialists. Elevé's practice focuses heavily on abdominal, waist, and torso surgery.
    • Formally trained in RibXcar. Dr. Gevork Tatarian trained directly under Dr. Manzaneda Cipriani.
    • Same surgeon, start to finish.
    • Financing. CareCredit, Cherry, and PatientFi.

    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 design a combination plan that fits your anatomy, goals, and recovery capacity.

    Schedule Your Consultation