How much does a rib removal cost?

After a rib removal, the external changes are already visible the next day. The final result can be seen after 4-6 weeks: During this time, the blood circulation recovers, the lymphatic drainage normalizes and the swelling goes down.

tummy tuck

Abdominoplasty is a plastic surgery procedure for problem areas on the abdomen and waist. The most common causes of fat accumulation in these areas are:

• excessive consumption of candy bars, burgers, chips, late-night snacking
• a sedentary lifestyle
• Stress, nervous breakdowns.
• pregnancy and childbirth.

These are understandable causes of obesity in general. For some people, the problem areas are on the hips and buttocks. In others, the fat deposits are evenly distributed throughout the body. And some people tend to accumulate fat, especially around the stomach and waist. When it comes to big numbers, exercise alone and normalizing WHR—calories, protein, fat, carbs—isn't enough. A healthy diet and physical activity are of course the key to a good figure. When you lose weight, the skin that has been stretched by the weight gain sags and what is known as the fat apron develops. Getting rid of them and getting a flat stomach is possible with a tummy tuck at the WestMed Clinic. And accumulated eating habits and exercise will surely ensure the result.

indications

• Excess fat tissue on abdomen and flanks
• Sagging skin after childbirth or significant weight loss
• A bulging stomach
• apron of fat on the skin
• Stretching of the rectus abdominis muscle
• Rupture of the white line (hernia)

Preparing for surgery

The blood flow in the upper extremity is examined for indications in various functional tests. The most common functional test is performed during ultrasound examination of the arteries of the lower limbs.

An MSCT angiography is performed to clarify the condition of the arteries and their relationship to the bones.

The general examination of the body includes general blood and urine tests, as well as blood tests for HIV, hepatitis and syphilis. Chest x-rays and cardiac ultrasound are mandatory, as is a gastric exam (EGDS) to rule out possible ulcers.

Immediate preparation for the operation includes shaving the armpit, inserting a urinary catheter

Pain management during surgery

General anesthesia – endotracheal – is used to control pain during the operation. The day before the operation, the patient is given a sedative. Before the anesthesia, a venous access is made to the central vein and a urinary catheter is inserted. A heart rate monitor is connected. The patient is then placed under general anesthesia. The duration of the procedure is 1-2 hours.

The patient is positioned at an angle of 20-30 degrees with the shoulder maximally retracted. The patient is placed in the supine position with the operated side raised 20-30 degrees with the help of a roller and the head slightly turned to the opposite side. After applying the dressing for the surgical field, the arm is stretched forward with the elbow bent and fixed in a special cuff attached to the surgical table post. The arm is returned to the inverted neutral position for 3 to 5 minutes every 20 minutes to minimize pressure on and avoid damaging the brachial plexus.

An 8 to 10 cm incision is made just above the base of the hairline in the axillary fossa, extending from the widest muscle to the pectoralis major. The soft and subcutaneous tissues of the chest are severed. Care should be taken not to injure the sternum and the long thoracic nerve that runs along the lateral edge of the incision.

Once the chest wall is reached, the pulsation of the subclavian artery can be palpated and the first rib below it palpated. The wound is stretched with a wound stretcher and the hook is positioned along the pulsation of the subclavian artery to avoid accidental injury to the brachial plexus. In the center of the visible rib in front of the subclavian artery, the anterior pectoral muscle is identified, which is key to the whole operation.

rehabilitation

The most important principle of rehabilitation after small waist surgery is wearing a corset. It supports the ribs in their new position until they fully recover and also has the properties of a compression pattern that speeds up swelling reduction and reduces pain. Of course, it can be briefly removed for showering, although overheating and steam bathing are not recommended until the end of rehabilitation. The bruising and swelling disappear within 2 weeks and the patients do not experience severe pain.

Other limitations during the first 3 months are avoidance of bad habits, strenuous exercise, weight lifting, bathing, solarium, etc. Gentle treatment is recommended for the first 3 to 5 days, with sedentary activity possible the day after treatment.

Prices

The prices listed on this page do not constitute a public offer (Article 435, Article 437 of the Civil Code of the Russian Federation). Please call us to clarify the costs of the services, we will be happy to advise you.

I was operated by Borovikov AA, the operation narrowed the waist (lower ribs), as a result of minus 8 centimeters, the figure is clearly changed and changed, the transition of the 'hourglass' looks very beautiful.

Thank you all very much, especially Anna Borovikova for your empathy, kindness and professionalism in my waist reduction surgery!

About the method – the benefits

Waist narrowing method according to Kudzaev KU – consists in reducing the circumference of the waist without removing the ribs by filing them (osteotomy) and fixing them in a new position by wearing a tight corset. Compared to the old method of shaping a narrow waist, removing part of a rib, the Kudzayev method has many advantages: less trauma, faster and easier rehabilitation.

Many people are wondering how to reduce their waist and what methods modern plastic surgery offers. The indication for the operation is an indeterminate waist. In this case, if the waist is missing or not pronounced due to fat deposits or an overstretched anterior abdominal wall after massive weight loss or after several births, liposuction and tummy tuck are the top priority for figure correction! Only then can an osteotomy (incision) be performed on the lower pairs of ribs!

That is, the ideal patient for surgery to shape a narrow waist using the Kudzayev method is a patient without excess fat, overweight and without a stretched anterior abdominal wall.

This does not mean that we do not accept such patients for this operation, but only that we first correct these conditions, ie perform liposuction or tummy tuck depending on the indication. Liposuction of the abdomen, back and flanks, as well as shaping of the narrow waist using the Kudzaev KU method can be performed in one operation. However, if a tummy tuck is required, a tummy tuck is performed first and after 4-6 months a narrow waist sculpting – an osteotomy of the lower pairs of ribs – can be done.

patients

Optimal age for surgery

Before and after rib removal pictures show amazing results, making the procedure suitable for people of all ages. Doctors consider the period of 30-35 years to be the optimal age for the operation, when the formation of the bone skeleton, the hormonal background without deviations and the tides of puberty are stable.

Middle-aged patients are in good health, free from chronic diseases, hypertension and heart disease.

Preparation of the patient

In preparation for rib removal, the patient undergoes a thorough medical examination and is consulted by a cardiologist, traumatologist and endocrinologist. In addition to the usual blood tests, an ultrasound scan of the heart and abdominal organs and an ECG may also be required.

Doctors recommend a CT scan using a contrast agent: it helps to exclude hidden bone pathologies and reveals vascular networks and large arteries. In order to exclude postoperative complications, the patient is examined in the laboratory for HIV and hepatitis 1-2 weeks before the planned resection.

Exacerbations of chronic diseases and latent bacterial infections that can cause severe abscesses and wound inflammation should be excluded.

Doctors recommend, among other things:

• complete abstinence from smoking and alcohol;
• Discontinuation of anticoagulants and hormonal drugs;
• a diet low in fat and spicy foods.

Any level of obesity increases the risk of fat embolism. This dangerous complication can be fatal during surgery. If you are overweight, wound healing slows down and the effect is less visible. Therefore, liposuction or weight loss under the guidance of a specialized nutritionist is performed earlier.

Twelve hours before the operation, it is advisable to stop eating, as this reduces the side effects of the anesthetic and speeds up recovery. The patient can drink pure water without gas or weak tea without sugar.

types of operations.

Partial or complete removal of the ribs, cartilage, and pleura, resection, or repositioning of the intercostal muscles to increase chest wall compliance. Elimination of resistance leads to collapse of the lungs and a reduction in respiratory excursion (depth of movement). The result is a collapse of the pathological cavities in the lungs and a reduction in the expansion of breathing. This reduces the absorption of waste products from the lung tissue, inhibits destructive changes in the lung tissue and leads to gradual healing of the affected area. In other words, the thoracoplasty closes the defects and improves lung function.

The operation is performed in an open method. An incision is made along the spine, around the scapula, and down to the posterior axillary line. The resulting musculocutaneous flap is then removed, exposing the ribs and removing the periosteum (dense connective tissue that covers the bone and is densely lined with blood vessels and nerves). After all procedures, drainage tubes or tampons are inserted into the wound, sewn up with thin sutures and covered with a compression bandage.

Three types of thoracoplasty are currently used:

• Extrapulmonary – this operation does not open the pleural cavity. It is mainly used in the surgical treatment of cavitary, cavitary-fibrous and infiltrative tuberculosis. The position and size of the skin and subcutaneous fat section depends on the position of the cavity.
• Intraoperative – Thoracoplasty removes not only the ribs, but also the intercostal muscles and pleura. Due to the high level of trauma, this technique is only rarely used. It is indicated in the surgical treatment of chronic emphysema, bronchial fistulas and in eliminating postoperative complications after resection of the upper lobe of the lung or its segments.
• Ladder – refers to the intrapleural technique but is used much more commonly. It is a total or partial resection of the ribs with relocation of the previously severed intercostal muscles to the surface of the lungs while preserving the integrity of the pleura. This method is used in the treatment of chronic emphysema with or without small bronchial fistulas, as well as in cavitary, fibrotic tuberculosis.

preparation for the intervention

Preparation for thoracoplasty in tuberculosis patients consists of comprehensive conservative treatment aimed at eliminating exacerbations and tuberculous intussusception, reducing sputum production and normalizing breathing. Its main element is individually selected antibiotic therapy. In chronic pneumothorax, the pleural cavity should be sanitized. This is done by puncturing the pleural cavity to remove purulent exudate.

The preoperative preparation phase of conservative treatment can last 1-2 weeks or several months.

Immediately before the operation, patients undergo a comprehensive examination, which includes both laboratory tests and instrumental diagnostic methods. These usually include:

• OAK and OAB;
• blood chemistry, fibrinogen level, coagulation index;
• HIV, viral hepatitis, syphilis;
• ECG and Echo CG;
• CT examination of the chest;
• spirography.

If the patient is taking anticoagulants and other medications that affect the clotting rate, their discontinuation is checked individually before the thoracic plastic surgery. It is also recommended to stop smoking and alcohol consumption at least one month before the surgery.

The waist was always in place!

Men have always appreciated round hips, large breasts and a slim waist, which is the best way to show them off. They believed this was associated with good health, the ability to father healthy offspring, and adequate milk for breastfeeding. Fashion didn't ignore the waist either. The question 'Where do we make a waistline?' went from the thesaurus of the fashion world to the encyclopedia of plastic surgeons.

Let's get back to the techniques for shaping a slim (narrow) waist. All methods can be conventionally divided into conservative and surgical. The first group includes cosmetic treatments such as various massage techniques, intralipotherapy, LPG. The second group includes more invasive techniques such as liposuction, rib removal and waist shaping without rib removal.

Rib Removal For A Slim Waist:

The removal of the ribs for waist modeling is the most traumatic procedure and is rarely used today. This is because the complete removal of the loose pairs of ribs (11th and 12th pair of ribs) leads to ptosis or lowering of the internal abdominal organs in the long term due to the lack of rigid support, since the ribs not only form the skeleton but also support the internal organs. The long-term consequences of such an operation are usually quite tragic.

Shaping a slim waist without removing the ribs is the most advanced and safest technique to achieve optimal results. The simplicity and low trauma make this operation one of the most important techniques in modern plastic surgery. The operation can be performed under general or local anesthesia, avoiding a long hospital stay. The duration of the procedure is about 40 minutes.

Technically, a small incision (2-3 cm) at the back accesses the free pairs of ribs and incises the posterior layer of cortex; the ribs are then fractured, resulting in a classic 'green branch' fracture. The wounds are sutured intradermally and an immobilizing orthosis is applied. During the healing process, which takes 1 month, the fractures heal. By changing the angle of the ribs to a more acute angle to the surface of the back, a definitive reduction in waist size is achieved without the long-term complications associated with disruption of the rib support function. The average postoperative waist reduction is between 6 and 8 cm. Proper patient selection is necessary to achieve good results: the best results are obtained in patients with a normo- or asthenic physique. Patients with a hyperstenic physique are suitable for a combined operation.

Prices for the services *

*The information contained on this website is for informational purposes only. All materials and prices on this site do not constitute a public offer within the meaning of Article 437 of the Civil Code of the Russian Federation. For more detailed information, please contact the clinic staff or visit our clinic. Download price list

• European comfort rooms;
• The latest equipment from the world's leading manufacturers, which doctors use to perform modern diagnostic procedures and innovative surgical interventions;
• use of the most effective and least risky drugs;
• Quality dietary meals;
• loving attention to the problems of the patients.

Serious cases of illness, injuries to the diaphragm and chest wall are discussed in the expert council with the participation of associate and associate professors, medical students and doctors of the highest category. Leading specialists in thoracic surgery work together to develop patient management and the optimal surgical method. Operations are performed by thoracic surgeons experienced in diaphragm and chest wall surgical techniques.

Modern treatment methods for diaphragmatic hernias

A diaphragmatic hernia is the displacement of abdominal organs into the chest cavity through congenital openings or acquired defects in the diaphragm. A distinction is made between congenital, acquired and post-traumatic diaphragmatic hernias.

There is no hernial sac in a false diaphragmatic hernia. A congenital diaphragmatic hernia occurs when the diaphragm does not communicate between the thorax and the abdominal cavity in the embryonic stage. Post-traumatic hernias occur with isolated tears of the muscular or tendinous part of the diaphragm larger than 2-3 cm.

In true hernias, the hernial sac includes the organs that have fallen outward. They develop when intra-abdominal pressure increases and the abdominal organs prolapse:

• Parasternal hernias - through the sternal space (Larray's hernia, Morgagn's hernia);
• Retrosternal hernias - directly in the area of the undersized sternum with the diaphragm;
• Bochdalek's diaphragmatic hernia - through the lumbosacral space.

The contents of the hernial sac may consist of the transverse colon, large intestine, or peritoneal fat. The severity of clinical symptoms of diaphragmatic hernia depends on the type of organs displaced into the pleural cavity, their volume, the degree of filling of the hollow organs, flexion and compression at the hernial orifices, the degree of lung collapse and displacement of the mediastinal organs, as well as the shape and size of the hernial openings.

Patients complain of heaviness and pain in the chest and lower ribs, shortness of breath and palpitations after a large meal, rumbling and bubbling in the chest on the side of the hernia, increased shortness of breath when lying on the floor. After a meal, swallowed food is often vomited.

An implanted diaphragmatic hernia can cause sudden onset of pain in the epigastrium and right side of the chest, nausea, vomiting, and gas and fecal leakage. Penetration into the hollow organ can lead to necrosis and perforation of its wall with the development of pneumothorax.

Contraindications for rhinoplasty with costal cartilage removal

Rhinoplasty cannot be recommended if the following contraindications are present

• Insufficient time between the last operation and the upcoming operation;
• oncological;
• Severe damage to internal organs;
• Infectious or viral diseases that cannot be cured;
• decreased blood clotting;
• mental disorders;
• metabolic and hormonal disorders;
• Dermatological problems (on the face).

How is nose surgery with costal cartilage removal performed?

In the first phase, the surgeon draws the area of the nose and the costal cartilage removal preoperatively. Then an incision no more than 2 to 3 cm long is made below the breast line to harvest the costal cartilage, which after a few months is practically invisible.

Once the required amount of donor material has been removed, it is molded into the shape required for the nose. The surgeon then makes an incision in the nose, peeling off a flap of skin and removing excess scar tissue. A special ultrasonic piezo knife is used for correction, which allows gentle processing of bone and cartilage tissue, significantly reducing the trauma of the operation and the duration of rehabilitation. The next step in the operation is trying on the new cartilage. If necessary, the autograft is sculpted into the desired shape and size. Once the costal cartilage is in place, it is attached to the subcutaneous tissue. At the final stage, a plaster cast is applied to the nasal area.

Indications, contraindications and preparation for the procedure

The method is suitable for women who are overweight (more than 25 kilos) and do not have excess subcutaneous fat on the flanks and abdomen. If necessary, the excess fat can be removed by liposuction and lipomodelling.

Contraindications for surgery include:

• Obesity.
• Severe wasting.
• pregnancy and breastfeeding.
• minors.
• Serious diseases of internal organs.

In order to identify contraindications and plan the forthcoming operation, comprehensive diagnostic examinations are arranged in the preparatory phase, which, in addition to the standard examination for the operation, also include a chest x-ray and a computer tomography.

recovery period

After the operation, the patient spends the first 24 hours in the clinic under the supervision of the medical staff. Before leaving the clinic, the doctor draws up an individual list of recommendations that must be strictly followed. Because waist reduction without rib removal is a low-trauma procedure, it is possible to return to normal life within two days of the procedure (with few exceptions).

A current issue for many women is the possibility of becoming pregnant after surgery. There are no restrictions in this regard. A woman can give birth and give birth completely naturally. However, it is important to remember that pregnancy should be planned no earlier than a year after waist reduction.

Another recommendation for patients traveling from other countries for surgery. Despite all the advantages of the method, air travel is not advisable in the first two days after discharge.

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