Lipo 360 + Rib Remodeling for Enhanced Contours

In the world of cosmetic surgery, patients increasingly seek comprehensive body contouring procedures that address multiple concerns in a single operation. Two such procedures—Liposuction 360 and Rib Remodeling—can be combined to achieve a dramatically sculpted, hourglass figure with enhanced waist definition.

This guide explores the benefits, techniques, recovery, risks, and expected outcomes of undergoing combined Liposuction 360 and Rib Remodeling surgery.

Understanding Liposuction 360

What is Liposuction 360?

Liposuction 360, also known as circumferential liposuction, is an advanced body contouring technique that removes fat from all angles of the midsection—front, back, and sides—to create a more sculpted waistline. Unlike traditional liposuction, which may focus on one area, Liposuction 360 ensures balanced fat removal for a harmonious result.

Areas Treated

• Abdomen (upper and lower)
• Flanks (love handles)
• Lower back (bra fat area)
• Waistline
• Hips (if needed for better proportions)

Techniques Used

• Tumescent Liposuction: A fluid mixture is injected to minimize bleeding and ease fat removal.
• Laser-Assisted Liposuction (SmartLipo): Uses laser energy to liquefy fat before suctioning.
• VASER Liposuction: Ultrasonic energy breaks down fat for smoother results.
• Power-Assisted Liposuction (PAL): Mechanical vibrations help remove fat more efficiently.

Ideal Candidates

• Patients with stubborn fat resistant to diet/exercise
• Those with good skin elasticity
• Non-smokers in overall good health
• Individuals near their ideal weight

Understanding Rib Remodeling

What is Rib Remodeling?

Rib remodeling (also called rib removal or rib reshaping) is a surgical procedure that alters the lower ribs to create a more defined waistline. Some patients opt for floating rib removal (11th and 12th ribs), while others undergo rib repositioning for a smoother contour.

Types of Rib Remodeling

1. Floating Rib Removal – The 11th and 12th ribs (which do not connect to the sternum) are partially or fully removed to enhance waist narrowing.
2. Rib Reshaping – The ribs are gently contoured without full removal for a subtle effect.
3. Waistline Sculpting – Combined with liposuction for a dramatic hourglass shape.

Ideal Candidates

• Individuals seeking an extreme hourglass figure
• Those with a naturally wide rib cage
• Patients who have already undergone liposuction but desire further waist reduction
• Healthy individuals without prior rib injuries

Benefits of Combining Liposuction 360 + Rib Remodeling

Enhanced Waist Definition

• Liposuction removes fat, while rib remodeling structurally narrows the waist.

More Dramatic Results

• Patients achieve a cinched waist that diet and exercise alone cannot provide.

Single Recovery Period

• Combining procedures reduces overall downtime compared to separate surgeries.

Customizable Contouring

• Surgeons can adjust fat removal and rib modifications based on patient goals.

Improved Proportions

• Creates a balanced silhouette with better hip-to-waist ratio.

The Surgical Process

Pre-Surgical Consultation

• Medical history review
• Physical examination (assessing fat distribution and rib structure)
• 3D imaging to simulate results
• Discussion of expectations and risks

Procedure Steps

1. Anesthesia – General anesthesia is typically used.
2. Liposuction 360 – Fat is removed from the abdomen, flanks, and back.
3. Rib Remodeling – Small incisions are made near the ribs; excess bone is removed or reshaped.
4. Closure & Compression Garments – Sutures are placed, and a compression garment is applied.

Surgery Duration

• 4 to 6 hours, depending on the extent of fat removal and rib modifications.

Recovery & Aftercare

Immediate Post-Op (First 72 Hours)

• Pain, swelling, and bruising are common.
• Limited mobility; assistance may be needed.
• Compression garments must be worn 24/7.

First Two Weeks

• Light walking is encouraged to prevent blood clots.
• No heavy lifting or strenuous activity.
• Follow-up appointments to monitor healing.

4-6 Weeks Post-Op

• Most swelling subsides; final results begin to show.
• Gradual return to exercise (with surgeon’s approval).

Long-Term Recovery (3-6 Months)

• Final waist definition becomes apparent.
• Scarring fades (rib incisions are small and well-hidden).

Risks & Complications

Liposuction 360 Risks

• Irregular contours or asymmetry
• Fluid accumulation (seroma)
• Skin laxity (if too much fat is removed)
• Infection (rare with proper care)

Rib Remodeling Risks

• Nerve damage (temporary numbness)
• Rib fractures (rare if performed by an experienced surgeon)
• Breathing discomfort (short-term)
• Organ injury (extremely rare)

Minimizing Risks

• Choose a board-certified plastic surgeon with experience in both procedures.
• Follow all pre- and post-op instructions carefully.
• Avoid smoking and alcohol during recovery.

Expected Results & Longevity

Liposuction 360 Results

• Immediate improvement, with final results visible after 3-6 months.
• Fat cells are permanently removed, but weight gain can affect remaining fat cells.

Rib Remodeling Results

• Permanent structural change to the waistline.
• No regrowth of removed ribs.

Maintaining Results

• Maintain a stable weight with a healthy diet and exercise.
• Wear compression garments as directed.
• Consider non-surgical treatments (like CoolSculpting) for minor touch-ups.

Cost of Combined Liposuction 360 + Rib Remodeling

• Liposuction 360 alone: $5,000–$15,000
• Rib remodeling alone: $7,000–$20,000
• Combined surgery: $12,000–$30,000+

Factors Affecting Cost:

• Surgeon’s expertise
• Geographic location
• Anesthesia & facility fees
• Extent of fat removal and rib modifications

Frequently Asked Questions (FAQs)

Q: Is rib removal dangerous?

A: When performed by a skilled surgeon, rib removal is safe. However, it carries more risks than liposuction alone.

Q: Can men undergo this combined procedure?

A: Yes, but men typically seek less waist narrowing than women.

Q: Will my waist look unnatural?

A: A skilled surgeon ensures proportional, natural-looking results.

Q: How soon can I see results?

A: Initial changes are visible after 4-6 weeks, with final results at 6 months.

Q: Can I get pregnant after rib removal?

A: Yes, but discuss timing with your surgeon, as pregnancy can alter results.

Combining Liposuction 360 and Rib Remodeling offers a powerful solution for patients seeking a dramatically sculpted waistline. While the procedure is more invasive than liposuction alone, the results can be transformative for the right candidate.

If you’re considering this surgery, consult with a board-certified plastic surgeon specializing in advanced body contouring to discuss your goals and ensure a safe, successful outcome.