A slimmer waistline… A more aesthetic silhouette…
Rib contouring aesthetics has become a rising trend in the world of plastic surgery and fitness. Among the leading innovations is “RibXcar”, a technique that promises rib reshaping without removal. But there’s now a revolutionary approach taking the waist contouring world by storm: the Ribella Procedure.
So what exactly is RibXcar? How does it differ from Ribella? Which method is safer, more effective, and offers truly personalized results? All the answers are in this article.
What Is RibXcar?
RibXcar is a rib contouring technique developed by Peruvian surgeon Dr. Manzaneda and has been gaining popularity globally through international training programs.
In this technique, the lower ribs (specifically the 10th–12th) are not removed, but instead reshaped using ultrasonic piezo technology, and gently angled inward. The result? A narrower and more defined waistline.
Key Features:
- Utilizes piezo ultrasonic technology
- No rib removal required
- Performed through 1 mm skin incisions (no stitches)
- Done under general anesthesia
- Typically performed by plastic surgeons for aesthetic purposes
This technique offers a quick return to social life and is especially popular among women with a BMI under 28 and trans individuals seeking a more feminine waistline. Post-procedure recovery includes 1–2 weeks of mild discomfort, swelling, and limited physical activity.
What Is Ribella?
Ribella is a patented rib reshaping procedure developed by thoracic surgeon and internationally recognized rib anatomy expert Assoc. Prof. Dr. Hasan Ersöz (Dr. Curver).
Although Ribella shares the same piezo technology and scarless, stitch-free approach as RibXcar, it offers significantly more advanced medical and aesthetic innovations that set it apart.
4 Key Differences Between Ribella and RibXcar
1. Expanded Anatomical Application
Both Ribella and RibXcar use piezo technology and minimally invasive skin entry points.
However, Ribella stands out with its wider anatomical coverage. RibXcar is limited to reshaping only the 10th–12th ribs, potentially restricting how much waist reduction can be achieved.
Ribella, on the other hand, can reach as high as the 7th rib, enabling not just lower waist slimming but also reshaping of the upper waist and torso transition—delivering a much more dramatic hourglass or “teacup” silhouette.
2. Cryotherapy-Assisted Pain-Free Experience
In the Ribella procedure, rib nerves are identified with ultrasound and blocked using cryotherapy before surgery. These nerves are temporarily disabled, so no pain is transmitted during or after the operation.
In contrast, RibXcar and similar procedures do not include nerve management, leading to a greater dependence on painkillers post-op.
3. 3D Simulation & Custom Corset for Guaranteed Results
Ribella begins with a 3D body scan, allowing for a virtual preview of the expected results on the patient’s actual body.
Thanks to this simulation:
- Asymmetry risk is eliminated
- A custom-made 3D Ribella Corset helps maintain ideal bone alignment during recovery
- Results are guaranteed, since patients already know what outcome to expect
RibXcar offers no simulation or personalized corset system.
4. Medical Expertise + Aesthetic Vision: Power of Thoracic Surgery
RibXcar is typically performed by plastic surgeons focused solely on aesthetics. However, rib reshaping involves critical structures like the pleura, lungs, and major blood vessels, which require specialized knowledge.
Ribella is performed by a thoracic surgeon, Dr. Ersöz, who combines:
- Safe rib reshaping
- Protection of vital organs
- Advanced nerve control
- Functional preservation
This ensures:
- No compromise on patient safety
- Zero risk to lungs or organs
- Maximum security and holistic results
Ribella: The Most Advanced Rib Contouring Technique to Date (Including RibXcar)
While Ribella and RibXcar both utilize piezo technology and minimally invasive techniques, Ribella elevates the standard with:
- Guaranteed pain-free experience (via cryotherapy)
- 3D-simulated results preview
- Custom 3D corset to prevent asymmetry
- Thoracic surgical expertise for superior medical safety
- Expanded anatomical scope (up to the 7th rib)
Currently, Ribella is exclusively performed by one surgeon in the world:
Assoc. Prof. Dr. Hasan Ersöz (Dr. Curver)
Ribella is not just a technique—it’s a blend of science, artistry, and surgical ethics.
Who Is the Ribella Procedure For?
- Women and trans women aiming to optimize their waist-to-hip ratio
- Trans individuals seeking body feminization
- People with a naturally wide rib structure
- Individuals with low fat levels but a “boxy” silhouette due to bone shape
- Patients concerned about scars, pain, or asymmetry
- Those who want to see and control their result in advance through simulation
Conclusion: Ribella Is the Evolution Beyond RibXcar
If you’re considering rib contouring techniques like RibXcar, it’s time to discover the most advanced and refined method in the world today—the Ribella Procedure.
With Ribella, you don’t just reshape your waist—you elevate your entire silhouette, backed by the highest standards in technology, medical safety, and personalization.