Waist reduction using the Kudzaev method

• A different waist contourWhen a patient is concerned about the waist-to-hip ratio and rib anatomy is a primary factor.
• Stable body weightThe surgeon assesses weight, skin, and soft tissue, since this method does not remove fat or a fold of skin.
• Realistic expectationsIt is important to compare this procedure with possible alternatives rather than rely on a promised number of centimeters.

Assessment first establishes how much waist shape depends on ribs rather than fat or excess skin. The described technique uses access from the back, changes lower-rib curvature and requires subsequent corset support. The support regimen and differences from liposuction need discussion before a decision.

As described for this method, the surgeon partially cuts the cortical layer of the lower ribs and changes their curvature without removing them. A corset supports the shape after closure; the rib levels and anaesthesia are agreed beforehand.

Significant excess weight, a fold of skin, or loose abdominal skin may first indicate that rib reshaping will not address the concern. Clotting disorders, heart failure, diabetes, cancer, and active infection require medical assessment; pregnancy calls for postponing elective surgery. Breathing and rib health are assessed separately because the procedure involves bone.

Reshaping the ribs may be associated with persistent pain, healing problems, asymmetry, injury to nearby tissues, and breathing complications. The surgeon must explain individual risks.