Rib Remodeling (RibXcar®)
Advanced Waistline Sculpting with Dr. Puyana
Rib Remodeling Designed to Refine the Waist with Precision and Control
A well-defined waistline is one of the most powerful elements of body proportion. While exercise and fat reduction can enhance contour, skeletal structure ultimately determines the natural limits of the waist. Rib Remodeling (RibXcar®) is an advanced surgical technique designed to safely refine the waistline by reshaping the lower ribs — without visible incisions and with a strong emphasis on safety and control.
This technique has gained international recognition as a sophisticated option for patients seeking a more sculpted, hourglass silhouette when traditional body contouring alone is not enough.
At Puyana
Plastic Surgery
Dr. Salomon Puyana performs Rib Remodeling (RibXcar®) using a highly controlled, ultrasound-assisted approach that prioritizes precision, tissue protection, and refined aesthetic outcomes. Dr. Puyana was personally trained by the pioneer of the RibXcar® technique at AX Academy, placing him among a sel
The result is a carefully engineered waist refinement that respects anatomy while delivering a visibly narrower, more sculpted silhouette.
What Is a Rib Remodeling (RibXcar®)?
Rib Remodeling (RibXcar®) is a minimally invasive surgical technique designed to reshape the lower ribs to enhance waist definition and overall body proportion.
Unlike older, aggressive methods, RibXcar®:
- Employs a piezotome to allow controlled bone remodeling
- Uses ultrasound guidance to increase precision and safety
- Avoids large or visible incisions
- Preserves surrounding tissues
The procedure is performed through small, discreet access points, resulting in no visible external scars. The goal is not rib removal, but controlled remodeling to achieve a smoother, narrower waistline that integrates naturally with the rest of the body.
Why Choose Rib Remodeling (RibXcar®)?
Patients choose Rib Remodeling (RibXcar®) when they want to:
- Enhance waistline definition beyond what fat removal alone can achieve
- Improve overall body proportion and silhouette
- Achieve a more sculpted waist without visible incisions
- Benefit from a technique designed with safety and control in mind
When performed by an experienced surgeon using modern technology, rib remodeling can provide subtle yet powerful improvements to body shape while maintaining a natural appearance.
The Most Advanced Rib Remodeling Technique Available Today
Ultrasound-Assisted Precision with Piezotome Control
Dr. Salomon Puyana performs RibXcar® using one of the most advanced approaches available worldwide.
This technique combines:
Piezotome instrumentation to allow controlled, selective bone remodeling
- Piezotome instrumentation to allow controlled, selective bone remodeling
- Ultrasound technology to enhance safety and precision
- Careful surgical planning to maintain structural integrity
This combination allows Dr. Puyana to reshape the ribs in a predictable, controlled manner, reducing trauma and increasing safety compared to older techniques.
Rib Remodeling (RibXcar®) A Higher Standard of Care
Rib remodeling requires advanced training, careful judgment, and a deep understanding of anatomy.
Dr. Salomon Puyana prioritizes:
- Detailed pre-operative planning
- Conservative, controlled remodeling
- Protection of surrounding tissues
- Adequate surgical time with no rushing
Rib Remodeling (RibXcar®) is performed in our fully accredited surgical facility, and patients return home the same day. Every aspect of care is designed to maximize safety while achieving refined, proportionate results.
What to Expect Before, During, & After Surgery
Pre-Surgery Planning
Dr. Salomon Puyana conducts a comprehensive consultation, evaluates skeletal structure and body proportions, and determines whether RibXcar® is appropriate for your goals.
Procedure Day
The procedure is performed in our fully accredited surgical facility using ultrasound-assisted technology and precision instruments. Patients return home the same day.
Recovery
Recovery varies by individual. Swelling gradually subsides, and waistline definition becomes increasingly apparent as healing progresses. A compression corset must be worn continuously for approximately 3 months, as it plays a key role in supporting healing and optimizing the final waist contour.
Frequently Asked Questions
About Rib Remodeling (RibXcar®)
Why Choose Puyana Plastic Surgery?
- Advanced Rib Remodeling Expertise
- Ultrasound-Assisted Safety
- Invisible Incision Technique
- Fully Accredited Surgical Facility
- No Shortcuts, No Rushed Surgery
Dr. Salomon Puyana is trusted by patients seeking refined waist enhancement through the safest and most advanced rib remodeling techniques available.
Crafting the Most Beautiful Version of You.
Rib Remodeling (RibXcar®) is about redefining proportion with precision and care. With Dr. Puyana’s expertise and advanced approach, waist enhancement is performed safely, discreetly, and intentionally.
Schedule your private consultation with Dr. Salomon Puyana to explore whether Rib Remodeling (RibXcar®) is right for you and take the next step toward a more sculpted silhouette.