{"id":9955,"date":"2026-05-22T14:05:05","date_gmt":"2026-05-22T14:05:05","guid":{"rendered":"https:\/\/www.drcurver.com\/?p=9955"},"modified":"2026-05-22T14:05:07","modified_gmt":"2026-05-22T14:05:07","slug":"riboss-and-ribella","status":"publish","type":"post","link":"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/","title":{"rendered":"RIBOSS and Ribella:"},"content":{"rendered":"\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_68_1 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title \" >Content<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Comparing_Two_Different_Approaches_to_Rib_Contouring\" title=\"Comparing Two Different Approaches to Rib Contouring\">Comparing Two Different Approaches to Rib Contouring<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#A_New_Era_in_Rib_Contouring_Surgery\" title=\"A New Era in Rib Contouring Surgery\">A New Era in Rib Contouring Surgery<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#What_Is_RIBOSS\" title=\"What Is RIBOSS?\">What Is RIBOSS?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Rib_Osteotomy_with_Osteosynthesis_Stabilization\" title=\"(Rib Osteotomy with Osteosynthesis Stabilization)\">(Rib Osteotomy with Osteosynthesis Stabilization)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#How_Does_the_RIBOSS_Technique_Work\" title=\"How Does the RIBOSS Technique Work?\">How Does the RIBOSS Technique Work?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Which_Ribs_Are_Targeted_in_RIBOSS\" title=\"Which Ribs Are Targeted in RIBOSS?\">Which Ribs Are Targeted in RIBOSS?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Clinical_Outcomes_of_RIBOSS\" title=\"Clinical Outcomes of RIBOSS\">Clinical Outcomes of RIBOSS<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Corset_Independence_in_RIBOSS\" title=\"Corset Independence in RIBOSS\">Corset Independence in RIBOSS<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#What_Is_the_Ribella_Procedure\" title=\"What Is the Ribella Procedure?\">What Is the Ribella Procedure?<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#The_Most_Advanced_Version_of_Rib_Contouring\" title=\"The Most Advanced Version of Rib Contouring\">The Most Advanced Version of Rib Contouring<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#How_Does_the_Ribella_Technique_Work\" title=\"How Does the Ribella Technique Work?\">How Does the Ribella Technique Work?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Key_Advantages_of_Ribella\" title=\"Key Advantages of Ribella\">Key Advantages of Ribella<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Limitations_of_Ribella\" title=\"Limitations of Ribella\">Limitations of Ribella<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Which_Procedure_Is_Better_for_Which_Patient\" title=\"Which Procedure Is Better for Which Patient?\">Which Procedure Is Better for Which Patient?<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Ideal_Candidates_for_RIBOSS\" title=\"Ideal Candidates for RIBOSS\">Ideal Candidates for RIBOSS<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Ideal_Candidates_for_Ribella\" title=\"Ideal Candidates for Ribella\">Ideal Candidates for Ribella<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Safety_Profile\" title=\"Safety Profile\">Safety Profile<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Frequently_Asked_Questions_FAQ\" title=\"Frequently Asked Questions (FAQ)\">Frequently Asked Questions (FAQ)<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Do_the_screws_used_in_RIBOSS_remain_permanently_in_the_body\" title=\"Do the screws used in RIBOSS remain permanently in the body?\">Do the screws used in RIBOSS remain permanently in the body?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Why_is_Ribella_more_suitable_for_athletes\" title=\"Why is Ribella more suitable for athletes?\">Why is Ribella more suitable for athletes?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#What_happens_if_the_corset_is_not_worn_after_Ribella\" title=\"What happens if the corset is not worn after Ribella?\">What happens if the corset is not worn after Ribella?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Which_method_provides_greater_waist_reduction\" title=\"Which method provides greater waist reduction?\">Which method provides greater waist reduction?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Which_method_offers_more_permanent_results\" title=\"Which method offers more permanent results?\">Which method offers more permanent results?<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/www.drcurver.com\/en\/riboss-and-ribella\/#Conclusion_The_Evolution_of_Rib_Contouring_Surgery\" title=\"Conclusion: The Evolution of Rib Contouring Surgery\">Conclusion: The Evolution of Rib Contouring Surgery<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Comparing_Two_Different_Approaches_to_Rib_Contouring\"><\/span>Comparing Two Different Approaches to Rib Contouring<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"A_New_Era_in_Rib_Contouring_Surgery\"><\/span>A New Era in Rib Contouring Surgery<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Rib contouring procedures performed to achieve a slimmer waistline and an hourglass body shape have become one of the fastest-evolving fields in aesthetic surgery over the past few years. Due to the high complication risks associated with traditional \u201crib removal\u201d procedures \u2014 including pneumothorax, loss of organ protection, and nerve damage \u2014 alternative techniques have been developed.<\/p>\n\n\n\n<p>Today, among the rib contouring methods practiced worldwide, the two most notable techniques are <strong>RIBOSS<\/strong> and the <strong>Ribella procedure<\/strong>.<\/p>\n\n\n\n<p>In this article, we comprehensively examine the differences, advantages and disadvantages, patient selection criteria, and outcomes between:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>RIBOSS<\/strong>, a method in which the ribs are surgically cut and stabilized with titanium plates and screws (the pioneer and predecessor of this technology), and<\/li>\n\n\n\n<li><strong>Ribella<\/strong>, a scarless, sutureless technique performed without incisions (the most advanced and up-to-date version of rib contouring surgery).<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_Is_RIBOSS\"><\/span>What Is RIBOSS?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Rib_Osteotomy_with_Osteosynthesis_Stabilization\"><\/span>(Rib Osteotomy with Osteosynthesis Stabilization)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>RIBOSS, short for <strong>Rib Osteotomy with Osteosynthesis Stabilization<\/strong>, is considered the pioneering modern rib contouring technique.<\/p>\n\n\n\n<p>Developed in 2022\u20132023 in Bucaramanga, Colombia by Dr. Aguilar Villa and his team, the method entered the scientific literature through a clinical study published in the prestigious journal <em>Plastic and Reconstructive Surgery<\/em> in 2025.<\/p>\n\n\n\n<p>RIBOSS represents the foundational technology that later inspired the development of the Ribella procedure.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_Does_the_RIBOSS_Technique_Work\"><\/span>How Does the RIBOSS Technique Work?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>The core principle of the RIBOSS technique is the adaptation of orthopedic osteosynthesis principles \u2014 traditionally used for fracture fixation \u2014 for aesthetic purposes.<\/p>\n\n\n\n<p>The procedure is performed in the following steps:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Surgical incision:<\/strong> An incision is made through the back to access the ribs<\/li>\n\n\n\n<li><strong>Osteotomy:<\/strong> Controlled cuts are made, usually on the 11th and 12th floating ribs, using piezotomes or specialized osteotomy instruments<\/li>\n\n\n\n<li><strong>Repositioning:<\/strong> The rib tips are bent inward to narrow the waistline<\/li>\n\n\n\n<li><strong>Fixation with plates and screws:<\/strong> The new rib position is permanently stabilized using titanium plates and self-tapping screws<\/li>\n\n\n\n<li><strong>Closure:<\/strong> The incision is closed with sutures<\/li>\n<\/ul>\n\n\n\n<p>This technique is essentially an aesthetic adaptation of orthopedic bone-healing principles used for decades.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Which_Ribs_Are_Targeted_in_RIBOSS\"><\/span>Which Ribs Are Targeted in RIBOSS?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Primary target:<\/strong> 11th and 12th floating ribs<\/li>\n\n\n\n<li><strong>Alternative approach:<\/strong> In approximately 22% of cases, the 10th and 11th ribs are preferred due to anatomical shortness of the 12th rib<\/li>\n\n\n\n<li>The intervention is performed exclusively from the posterior (back) side<\/li>\n\n\n\n<li>Because these ribs are located at the lower border of the rib cage, the impact on respiratory function is minimal<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Clinical_Outcomes_of_RIBOSS\"><\/span>Clinical Outcomes of RIBOSS<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>In a 27-patient study conducted by Aguilar Villa and colleagues, remarkable outcomes were reported:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Average waist reduction of <strong>12.1 cm<\/strong> at 1 month and <strong>13 cm<\/strong> at 3 months<\/li>\n\n\n\n<li>Hip circumference reduction of <strong>6.2\u20138.7 cm<\/strong> when combined with additional procedures<\/li>\n\n\n\n<li>Very high patient satisfaction rates<\/li>\n\n\n\n<li>Only 1 case of wound dehiscence and 1 case of mild pain reported<\/li>\n\n\n\n<li>Average pain score decreased from <strong>2.4 during the first week<\/strong> to <strong>0.26 by the first month<\/strong><\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Corset_Independence_in_RIBOSS\"><\/span>Corset Independence in RIBOSS<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>One of the greatest disadvantages of classical osteotomy techniques is the requirement for continuous corset use for approximately 3 months.<\/p>\n\n\n\n<p>A key advantage of RIBOSS is that titanium plates and screws already provide anatomical stabilization, significantly reducing the need for prolonged corset dependency.<\/p>\n\n\n\n<p>However, an important limitation should be emphasized:<\/p>\n\n\n\n<p>Because RIBOSS involves surgical scars on the back and permanent titanium implants within the body, some sports federations may consider these implants problematic under athletic eligibility or implant regulations. This may potentially create risks for professional athletes.<\/p>\n\n\n\n<p>For this reason, the scarless and implant-free Ribella procedure is often considered a more suitable option for athletes and professionals in competitive sports.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_Is_the_Ribella_Procedure\"><\/span>What Is the Ribella Procedure?<span class=\"ez-toc-section-end\"><\/span><\/h1>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_Most_Advanced_Version_of_Rib_Contouring\"><\/span>The Most Advanced Version of Rib Contouring<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Ribella is a rib contouring technique patented and developed in T\u00fcrkiye in 2024 by Hasan Ers\u00f6z.<\/p>\n\n\n\n<p>Unlike RIBOSS, Ribella follows an entirely different philosophy:<\/p>\n\n\n\n<p>Performed <strong>without incisions, without sutures, without visible scars, and without implants<\/strong>, Ribella represents the most advanced and comprehensive evolution of rib contouring surgery to date.<\/p>\n\n\n\n<p>While RIBOSS is generally limited to the 11th and 12th ribs, Ribella can extend up to the <strong>7th rib<\/strong>, allowing contouring across a much wider rib range and producing a more dramatic waist curvature.<\/p>\n\n\n\n<p>Additionally, because Ribella can be performed from both the anterior (front) and posterior (back) sides, rib flare deformities in the front can be corrected simultaneously with waist narrowing.<\/p>\n\n\n\n<p>This three-dimensional approach creates a significantly narrower and more curved waist appearance from side view, achieving waist reduction results that are substantially greater than those possible with RIBOSS.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_Does_the_Ribella_Technique_Work\"><\/span>How Does the Ribella Technique Work?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Ribella is performed using a minimally invasive approach:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Tiny needle entry points:<\/strong> Instead of surgical incisions, only millimeter-sized needle entry sites are used<\/li>\n\n\n\n<li><strong>Extended rib reshaping:<\/strong> Controlled micro-fractures are created from the 7th to the 12th ribs to reposition them inward<\/li>\n\n\n\n<li><strong>Anterior + posterior intervention:<\/strong> Both front and back areas are treated simultaneously to correct rib flare deformities and create a 3D waist contour<\/li>\n\n\n\n<li><strong>Cryotherapy (nerve block):<\/strong> Specialized techniques temporarily block regional nerves for approximately 3 months, reducing pain sensation almost to zero<\/li>\n\n\n\n<li><strong>Corset support:<\/strong> A Ribella corset is used to maintain rib positioning during bone healing<\/li>\n\n\n\n<li><strong>3D simulation:<\/strong> Advanced visualization technologies allow patients to preview expected outcomes before surgery<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Key_Advantages_of_Ribella\"><\/span>Key Advantages of Ribella<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>No visible scars because no incisions or sutures are required<\/li>\n\n\n\n<li>No foreign materials such as implants, plates, or screws are placed in the body<\/li>\n\n\n\n<li>Greater waist reduction potential due to intervention extending up to the 7th rib<\/li>\n\n\n\n<li>Simultaneous correction of rib flare deformities through anterior and posterior access<\/li>\n\n\n\n<li>Highly effective pain management thanks to cryotherapy<\/li>\n\n\n\n<li>Usually performed as same-day discharge or with only 1\u20132 nights of hospitalization<\/li>\n\n\n\n<li>Patients typically return to daily life within approximately 1 week<\/li>\n\n\n\n<li>Full recovery generally takes around 8 weeks<\/li>\n\n\n\n<li>Ideal for athletes because there are no implants or visible signs of surgery<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Limitations_of_Ribella\"><\/span>Limitations of Ribella<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Strict corset use for approximately 3 months is mandatory<\/li>\n\n\n\n<li>The outcome depends heavily on patient compliance with external stabilization (corset use)<\/li>\n\n\n\n<li>Poor corset compliance may lead to asymmetry or insufficient narrowing<\/li>\n\n\n\n<li>Some studies reported residual asymmetry rates of approximately 2.5% due to corset noncompliance<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Which_Procedure_Is_Better_for_Which_Patient\"><\/span>Which Procedure Is Better for Which Patient?<span class=\"ez-toc-section-end\"><\/span><\/h1>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Ideal_Candidates_for_RIBOSS\"><\/span>Ideal Candidates for RIBOSS<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients who believe they may struggle with long-term corset compliance<\/li>\n\n\n\n<li>Individuals seeking mechanically stabilized results<\/li>\n\n\n\n<li>Revision cases with previous rib osteotomy healing problems<\/li>\n\n\n\n<li>Patients unconcerned about surgical scars or implants<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Ideal_Candidates_for_Ribella\"><\/span>Ideal Candidates for Ribella<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Athletes and professional competitors<\/li>\n\n\n\n<li>Patients who absolutely do not want visible scars<\/li>\n\n\n\n<li>Individuals concerned about postoperative pain<\/li>\n\n\n\n<li>Patients with rib flare deformities<\/li>\n\n\n\n<li>Those seeking extended contouring up to the 7th rib<\/li>\n\n\n\n<li>Individuals aiming for maximum waist narrowing and a 3D contour<\/li>\n\n\n\n<li>Patients capable of maintaining strict corset discipline<\/li>\n\n\n\n<li>Those wanting faster return to social life<\/li>\n\n\n\n<li>Patients preferring minimally invasive techniques<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Safety_Profile\"><\/span>Safety Profile<span class=\"ez-toc-section-end\"><\/span><\/h1>\n\n\n\n<p>It is important to note that both techniques are still considered relatively new and under ongoing investigation in international medical literature.<\/p>\n\n\n\n<p>According to comprehensive meta-analysis studies published in 2025, the overall complication profile of rib contouring procedures was reported as follows:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pneumothorax:<\/strong> 1.9%<\/li>\n\n\n\n<li><strong>Skin burns:<\/strong> 6.7%<\/li>\n\n\n\n<li><strong>Residual contour asymmetry:<\/strong> 2.3%<\/li>\n\n\n\n<li><strong>Severe postoperative pain:<\/strong> 9.2%<\/li>\n<\/ul>\n\n\n\n<p>Although these rates are significantly lower than those associated with traditional rib removal surgery, more long-term clinical data are still needed.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions_FAQ\"><\/span>Frequently Asked Questions (FAQ)<span class=\"ez-toc-section-end\"><\/span><\/h1>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Do_the_screws_used_in_RIBOSS_remain_permanently_in_the_body\"><\/span>Do the screws used in RIBOSS remain permanently in the body?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Yes. The titanium plates and screws used in RIBOSS are generally permanent. Titanium is highly biocompatible and MRI-compatible. Removal is only necessary in rare complication cases.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Why_is_Ribella_more_suitable_for_athletes\"><\/span>Why is Ribella more suitable for athletes?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Because Ribella involves no implants, screws, plates, or visible surgical scars. Only tiny needle entry points are used, making the procedure virtually undetectable during physical examinations or athletic evaluations.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_happens_if_the_corset_is_not_worn_after_Ribella\"><\/span>What happens if the corset is not worn after Ribella?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Insufficient corset use may prevent proper bone healing in the new position, increasing the risk of asymmetry or inadequate waist narrowing.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Which_method_provides_greater_waist_reduction\"><\/span>Which method provides greater waist reduction?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Ribella generally achieves significantly greater waist narrowing because:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>It can extend up to the 7th rib, whereas RIBOSS is limited mainly to the 11th and 12th ribs<\/li>\n\n\n\n<li>It addresses both anterior and posterior rib structures, including rib flare deformities<\/li>\n<\/ol>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Which_method_offers_more_permanent_results\"><\/span>Which method offers more permanent results?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Both techniques are designed to provide permanent outcomes. RIBOSS achieves permanence through mechanical fixation, while Ribella relies on bone healing in the new anatomical position.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h1 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Conclusion_The_Evolution_of_Rib_Contouring_Surgery\"><\/span>Conclusion: The Evolution of Rib Contouring Surgery<span class=\"ez-toc-section-end\"><\/span><\/h1>\n\n\n\n<p>RIBOSS and Ribella represent two different evolutionary stages in rib contouring surgery.<\/p>\n\n\n\n<p>RIBOSS established the foundation of modern rib contouring through its engineering-based mechanical stabilization approach.<\/p>\n\n\n\n<p>Ribella, however, advanced this concept further with:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>scarless minimally invasive techniques,<\/li>\n\n\n\n<li>expanded intervention up to the 7th rib,<\/li>\n\n\n\n<li>anterior and posterior contouring capability, and<\/li>\n\n\n\n<li>implant-free methodology.<\/li>\n<\/ul>\n\n\n\n<p>As a result, Ribella is increasingly regarded as the most advanced current version of rib contouring surgery.<\/p>\n\n\n\n<p>Ultimately, the right procedure depends on:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>your anatomy,<\/li>\n\n\n\n<li>aesthetic expectations,<\/li>\n\n\n\n<li>lifestyle,<\/li>\n\n\n\n<li>ability to comply with corset use, and<\/li>\n\n\n\n<li>sensitivity regarding scars and implants.<\/li>\n<\/ul>\n\n\n\n<p>Therefore:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Consult with an experienced thoracic or plastic surgeon<\/li>\n\n\n\n<li>Carefully evaluate the clinical evidence and long-term outcomes of both procedures<\/li>\n\n\n\n<li>Maintain realistic expectations<\/li>\n\n\n\n<li>Use 3D simulation technologies whenever available to visualize potential outcomes<\/li>\n<\/ul>\n\n\n\n<p>In aesthetic surgery, the best choice is not necessarily the most popular procedure \u2014 but the one most appropriate for your anatomy and personal goals.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Comparing Two Different Approaches to Rib Contouring A New Era in Rib Contouring Surgery Rib contouring procedures performed to achieve a slimmer waistline and an hourglass body shape have become one of the fastest-evolving fields in aesthetic surgery over the past few years. Due to the high complication risks associated with traditional \u201crib removal\u201d procedures \u2014 including pneumothorax, loss of organ protection, and nerve damage \u2014 alternative techniques have been developed. Today, among the rib contouring methods practiced worldwide, the two most notable techniques are RIBOSS and the Ribella procedure. In this article, we comprehensively examine the differences, advantages and disadvantages, patient selection criteria, and outcomes between: What Is RIBOSS? (Rib Osteotomy with Osteosynthesis Stabilization) RIBOSS, short for Rib Osteotomy with Osteosynthesis Stabilization, is considered the pioneering modern rib contouring technique. Developed in 2022\u20132023 in Bucaramanga, Colombia by Dr. Aguilar Villa and his team, the method entered the scientific literature [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-9955","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.drcurver.com\/en\/wp-json\/wp\/v2\/posts\/9955"}],"collection":[{"href":"https:\/\/www.drcurver.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.drcurver.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.drcurver.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drcurver.com\/en\/wp-json\/wp\/v2\/comments?post=9955"}],"version-history":[{"count":1,"href":"https:\/\/www.drcurver.com\/en\/wp-json\/wp\/v2\/posts\/9955\/revisions"}],"predecessor-version":[{"id":9956,"href":"https:\/\/www.drcurver.com\/en\/wp-json\/wp\/v2\/posts\/9955\/revisions\/9956"}],"wp:attachment":[{"href":"https:\/\/www.drcurver.com\/en\/wp-json\/wp\/v2\/media?parent=9955"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.drcurver.com\/en\/wp-json\/wp\/v2\/categories?post=9955"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.drcurver.com\/en\/wp-json\/wp\/v2\/tags?post=9955"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}