The patented technique developed by Assoc. Prof. Hasan Ersöz, MD, is establishing a new standard in waist contouring and rib flare correction.
Introduction
For many years, body contouring procedures have primarily focused on fat reduction through techniques such as liposuction and fat grafting. However, in some individuals, a wide waistline or protruding lower ribs (rib flare) is not caused by excess fat but by the underlying skeletal anatomy.
In these cases, diet, exercise, and even liposuction may fail to achieve the desired aesthetic outcome.
Developed by Thoracic Surgeon Assoc. Prof. Hasan Ersöz, MD, and patented in 2024, the Ribella Procedure offers an innovative solution by addressing the source of the problem—the rib cage itself.
What Is the Ribella Procedure?
The Ribella Procedure is a permanent body contouring technique that reshapes the ribs without surgical incisions, sutures, visible scars, or significant postoperative pain.
Unlike traditional rib removal surgery, the procedure does not require surgical excision of the ribs. As a result, it eliminates the visible scars and many of the risks associated with conventional rib resection.
The Ribella Procedure has two primary clinical applications.
Waist Contouring
For individuals whose waist appears wide due to rib anatomy rather than excess fat, reshaping the lower ribs can reduce the waist circumference by an average of 7–9 cm (approximately 3 inches).
The procedure is designed to create:
- A more defined waistline
- Natural body proportions
- A harmonious silhouette tailored to each patient’s anatomy
Rib Flare Correction
Rib flare refers to the outward or forward protrusion of the lower ribs, creating an asymmetric or prominent appearance of the chest wall.
The Ribella Procedure corrects this deformity in both women and men, producing a more balanced and symmetrical chest contour.
How Does Ribella Differ from Conventional Techniques?
The most significant difference between Ribella and traditional body contouring procedures is that Ribella targets the skeletal framework rather than fat tissue.
This approach offers several advantages:
- Effective even in lean individuals with low body fat.
- No permanent removal of ribs, preserving the structural integrity of the chest wall.
- The protective function of the rib cage for the heart and lungs remains intact.
- No surgical incisions or stitches.
- No visible scars.
- A more comfortable recovery period.
- Faster return to daily activities.
Who Is a Candidate?
The Ribella Procedure is not limited to female patients.
It may be an appropriate option for:
- Women and men with rib flare deformity
- Individuals unable to achieve a slimmer waist despite regular exercise and a healthy diet
- Patients seeking more defined body contours
- Individuals undergoing body feminization
- Patients whose skeletal anatomy limits the effectiveness of conventional body contouring procedures
Suitability for the procedure is determined through a comprehensive medical evaluation.
Why Is Thoracic Surgery Expertise Essential?
The rib cage is not merely a structural component of the body—it serves as the primary protective framework for vital organs such as the heart and lungs.
Therefore, any intervention involving the ribs requires advanced expertise in chest wall anatomy and thoracic surgery.
With more than fifteen years of surgical experience and international recognition in chest wall surgery, particularly in the treatment of pectus deformities, Assoc. Prof. Hasan Ersöz, MD, developed the Ribella Procedure with a fundamental principle:
To achieve aesthetic improvement while fully preserving the protective function of the chest wall.
Clinical Experience and International Recognition
Following the first Ribella Procedure performed in July 2024, the technique has reached 63 consecutive cases within 23 months, representing the largest clinical series of its kind worldwide.
The first official clinical outcomes together with two-year follow-up data will be presented to the international medical community on July 18, 2026, at the Second International Conference on Chest Wall Surgery Organization (ICWSO) in Guangzhou, China.
Invited by world-renowned chest wall surgeon Prof. Wenlin Wang and the International Chest Wall Surgery Organization (ICWSO) Scientific Committee, Assoc. Prof. Hasan Ersöz, MD, will present:
“The Ribella Procedure: Technical Details and Surgical Experience.”
This invitation represents an important milestone for an innovative surgical technique developed in Türkiye and recognized on the international scientific stage.
Conclusion
The Ribella Procedure represents a paradigm shift in aesthetic body contouring by moving the focus from fat tissue to the skeletal framework.
Its incision-free, scar-free approach, permanent results, and preservation of the rib cage’s protective function make it a promising advancement for both patients and the scientific community.
Supported by an expanding clinical series and long-term follow-up data presented at international scientific meetings, the Ribella Procedure is emerging as a pioneering innovation at the intersection of thoracic surgery and aesthetic body contouring.