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Rib Repositioning Is Now Scarless With RibX and RibXCar

September 08, 2025 | Rib Repositioning

Curvy woman in black underwear

A defined waistline has long been associated with beauty, elegance, and femininity. For centuries, women have sought ways to accentuate their curves and achieve the coveted “hourglass figure.” However, no matter how dedicated you might be to shaping your body through diet and exercise, the anatomy of your ribs and pelvis naturally limits how narrow you can make your waist. If you’ve ever wished your waistline could be slimmer or more sculpted, rib repositioning offers a groundbreaking solution. And, thanks to the innovations of RibX and RibXCar, this revolutionary cosmetic procedure can now be performed without leaving a single scar.

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Table of Contents

What Is Rib Repositioning?

Rib repositioning is a minimally invasive surgical technique designed to narrow your waistline without removing any ribs. Unlike older approaches to waist shaping that required rib removal—a process associated with pain, risks of complications, and visible scarring—rib repositioning involves carefully reshaping your “floating” ribs using a small incision hidden on your back. By gently fracturing and repositioning these bottom two ribs, your waistline can be easily contoured into a more defined and feminine shape.

The results of rib repositioning are natural-looking and bring a beautiful balance to the rest of your body. Many of Dr. Agullo’s rib repositioning patients choose to combine their procedure with liposuction or a tummy tuck with triple plication for maximum contouring effect. Liposuction eliminates stubborn fat pockets along your waist, while a tummy tuck tightens lax abdominal muscles and removes excess skin. When performed together, these procedures can dramatically transform your entire midsection, giving you a slimmer, more svelte figure.

What Is RibX and RibXCar Rib Repositioning?

Board-certified plastic surgeon Dr. Frank Agullo has taken rib repositioning to the next level with the advanced RibX and RibXCar techniques. Rib repositioning in the hands of Dr. Agullo is now more precise, comfortable, and, most importantly, scarless. Here’s how it works:

Using ultrasound technology, Dr. Agullo locates the bottom two floating ribs on each side and administers EXPAREL®, a long-acting local anesthetic, around each rib. Through a tiny needle puncture, he inserts a piezotome, an advanced device that uses ultrasonic vibrations to make controlled, tissue-sparing cuts in the targeted rib bones. Unlike traditional surgical tools, the piezotome avoids damaging the surrounding soft tissues, making recovery easier.

The ribs are then repositioned and stabilized in a narrower contour, creating a sleeker waistline while preserving your mobility and the protective function of your ribs. After your RibX and RibXCar surgery, you will be required to wear a specialized waist trainer during your recovery to guide the formation of your new contours.

Because RibX and RibXCar require no true incisions, the procedure is scarless. Once your recovery is complete, you can confidently show off your curves without worrying about visible marks giving away that you’ve had surgery.

5 Benefits of RibX and RibXCar Rib Repositioning

1. It’s Scarless

The most exciting advancement of RibX and RibXCar is that the procedure is scarless. Unlike rib removal, which requires visible incisions, the RibX and RibXCar technique uses only needle-sized entry points. Once healed, there are no telltale signs you’ve had surgery, just a naturally narrower waist.

2. It’s Minimally Invasive

Traditional rib removal surgeries are invasive, risky, and can take weeks to recover from. Rib repositioning with RibX and RibXCar eliminates the need for large incisions and extensive tissue disruption. The minimally invasive nature of the RibX and RibXCar approach means less downtime and fewer complications. Most patients experience only mild soreness, similar to a pulled muscle, for the first few days after their procedure. Additionally, the EXPAREL® injection administered at the time of your surgery lasts for three days, further minimizing discomfort. 

3. Your Recovery Time Is Shorter

Because the procedure is gentle on surrounding tissues and aided by long-lasting anesthetic, RibX and RibXCar recovery is smoother and faster. You can typically return to desk work or light activity within a week after surgery and resume more strenuous activities in a few weeks (with Dr. Agullo’s approval). The use of a waist trainer during recovery also helps maintain your results and provides additional comfort and support.

4. The Results Are Long-Lasting

Unlike temporary fixes such as waist trainers or weight loss, the RibX and RibXCar rib repositioning procedure delivers permanent structural changes. Physically altering the position of your ribs allows your waistline to remain slimmer, longer. Paired with weight management, you can expect your RibX and RibXCar results to last for many years, aging naturally along with the rest of your body.

5. It’s a Safer and Better Option Than Rib Removal

Historically, patients have chosen rib removal surgery to achieve a smaller waistline. But rib removal carries high risks, including chronic pain, nerve injury, posture problems, and results that don’t look entirely natural. In contrast, rib repositioning reshapes your ribcage without removing any part of its vital structure. The result is safer, more sustainable, and more natural-looking. With RibX and RibXCar, you get the dramatically slimmer waistline you want without the dangers associated with traditional rib removal.

Ready for A Snatched Waist?

Rib repositioning with RibX and RibXCar is changing the way Dr. Frank Agullo’s patients achieve an hourglass silhouette. By combining cutting-edge technology, minimally invasive techniques, and a scarless approach, Dr. Agullo has made it possible to noticeably slim your waistline safely and beautifully, with lasting results.

If you’re ready to take the next step toward a more defined, feminine shape, now is the time to explore the benefits of rib repositioning with RibX and RibXCar. Whether you want to accentuate your natural curves or complement the results of liposuction or a tummy tuck, this advanced procedure can help you achieve your dream waistline. To learn more about the procedure and discover if it’s right for you, schedule a consultation with Dr. Agullo today by calling (915) 590-7900 or completing the online contact form to get started.