Resection of the first rib is a surgical operation aimed at eliminating compression of the vessels and nerves of the upper limb as they exit the chest. Today, this operation is the best treatment for compression of the neurovascular bundle. The operation is performed under general anesthesia and requires special delicacy in execution. With the correct indications, this operation completely eliminates the clinical picture of compression of the neurovascular bundle.
Surgery at the Innovative Vascular Center
The surgeons of our clinic have successful experience in operations on the arteries of the upper limb. removal of the first rib is a well-mastered operation in the arsenal of our clinic. We carry out detailed diagnostics and determine the exact indications for this intervention.
Marilyn Monroe
Source: Legion-Media
Marilyn was naturally inclined to be overweight, and the extra pounds were deposited in the abdomen and hips. To maintain her status as Hollywood's main sex symbol and meet accepted standards of beauty, Monroe had to wear constricting corsets.
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After learning that this problem could be solved with surgery, the actress decided to remove her lower ribs and was one of the first women in America to have such a procedure. However, after the transformation, Marilyn continued to wear corsets, which further emphasized her wasp waist.
Preparing for surgery
In order to determine indications for intervention, studies of blood flow in the upper limb are carried out during various functional tests. Most often, functional tests are performed during ultrasound of the arteries of the lower extremities.
To clarify the condition of the arteries and their relationship with the bones, we perform MSCT angiography.
A general assessment of the body’s condition includes the study of general blood and urine tests, blood tests for HIV, hepatitis, and syphilis. A chest X-ray, an ultrasound of the heart, and an examination of the stomach (EGD) are required to exclude possible ulcers.
Direct preparation for surgery consists of shaving the axillary area and installing a urinary catheter
Dita Von Teese
Source: @ditavonteese
Many women dream of such a chiseled silhouette, like that of a burlesque star. Although Dita herself admits that she did not get these data from nature, but thanks to plastic surgeons who removed her lower ribs. Her waist circumference is only 42 cm, so many believe that Von Teese has the thinnest one.
To emphasize her figure and curves, Dita, like Marilyn Monroe once did, prefers to wear corsets.
Most women, as a rule, are very particular about their appearance: taking care of their skin and hair, maintaining an elegant figure that attracts the attention of men. Taking care of hair and skin is not a problem today, since the market provides a wide range of various health-improving and decorative cosmetics of high quality. Maintaining a figure, provided that it is beautiful from birth, is also not a problem today; the fair sex has access to all kinds of exercise equipment, fitness rooms, and dietary meals. The situation is much more complicated with women who do not have attractive forms from birth, but strive to have a thin waist, which, since ancient times, has served as a measure of female beauty among many peoples.
An interesting fact is that in the 18th century, for example, a “wasp waist” was considered a standard of beauty and attracted males much more than a handsome or pretty face. It was believed that the ideal female waist is one whose girth is equal to the girth of her husband’s neck.
Women went to great lengths to thin their waists. The corsets were tightened to such an extent that in a stuffy room a girl could faint from lack of air, and some women did not even stop at such a step as removing ribs to reduce their waist size. In the absence of the possibility of giving the patient anesthesia during the operation and taking into account the fact that such a concept as asepsis appeared only in the 19th century, most operations during which ribs were removed ended in death.
Times have changed, methods and approaches in medicine have changed, new branches of surgery have appeared, a whole direction has emerged - plastic surgery, which is intensively used to increase female attractiveness and is developing at a high pace in the modern world. Methods, instruments and equipment in operating rooms, where plastic surgeons rule, are constantly being improved. But there is nothing more constant than the desire of female representatives to please their men with the beauty and attract attention with an ideal figure. And today, plastic surgeons can help even those women who will have to have their ribs removed to reduce their waist size.
Why are ribs removed?
The most common case when it is worth performing an operation to resect the lower ribs to reduce the waist is the physiological characteristics of the body structure, which is often called “rectangular”. It must be remembered that this operation is not recommended for ladies with curvy figures; in any case, first of all, they need to undergo liposuction. It is a fact that the main clients of plastic surgeons who perform operations on resection of the lower ribs are women with a fragile figure and, as a rule, a weakly defined waist.
What are ribs
From the school anatomy course we know that ribs are paired bones that have a flat, arched shape and make up the frame of the chest in vertebrate species, and humans are no exception in this regard. The human chest is formed by 12 pairs of ribs, which have 2 ends: the front one is connected to the spine, and the back one is connected to the sternum. As you know, from the same school anatomy course, not all 12 pairs of ribs are connected on both sides: the upper 7 pairs, called “true” and 3 pairs located below and called “false”, are attached to both the spine and the sternum. The 2 lowest pairs (11 and 12, respectively) are called “oscillating”, for their “construction”. The fact is that they are attached only to the spine, and not to the sternum. However, some people may have the “13th pair” or lack the eleventh and twelfth. When we talk about the operation of removing ribs to increase waist size, we usually mean the 12th pair.
The procedure for performing surgery for resection of the lower ribs
This operation is performed in the following order: first, the patient is given general anesthesia, then incisions are made to access the 12th pair of ribs, after which the ribs are reduced to the desired size and sutures are applied. Most surgeons prefer to perform the operation endoscopically, that is, through small incisions in the umbilical area. During the operation, not all ribs of the twelfth pair are removed, but some of them are removed, turning them into a pair of short ribs. The reduction in waist size after surgery occurs due to the contraction of the abdominal muscles, which occurs under tone, which is achieved by shortening the ribs. With the right approach to the operation, the result is a strong visual effect of a sharp reduction in waist size, and patients, as a rule, are more than satisfied.
Postoperative period
Most plastic surgeries are easy, even unnoticeable.
Unfortunately, surgery to resect the lower ribs is somewhat more difficult to tolerate. But, as you know, beauty requires sacrifice. During the postoperative period, the patient needs to prepare for the following: staying in the hospital for 2-3 days after surgery; taking painkillers; during the entire rehabilitation period, which lasts just over a month; you have to give up physical activity and sudden movements.
Possible complications
Resection of the lower pair of ribs for the aesthetic purpose of reducing waist circumference is considered a complex operation, since the operating surgeons need to avoid some difficulties, such as post-operative scars, so it is necessary to make very small incisions through which the ribs are resected - this is a complex process.
However, with the modern level of development of plastic surgery and the operation being performed by an experienced team of doctors, which, in addition to the plastic surgeon, usually includes: a traumatologist, mammologist, urologist, thoracic surgeon, there are practically no risks, but in some cases they are not excluded. Of course, patients are not at risk of complications such as inflammation in the bones, internal injuries, deformation of the chest, atrophy of the abdominal muscles, a threat to the safety of the liver and spleen, prolapse of the kidneys, impaired ventilation of the lungs and the appearance of chronic respiratory diseases for this reason (bronchitis, pneumonia, pneumonia). But pulmonary ventilation is not compromised only in case of resection of the 12th pair of ribs, this has been proven. And there is absolutely no point in thinking about removing the 11th pair, or even the 10th. Past experience of performing such operations on patients who insisted on surgery has shown that removal of the 10th and 11th pairs of ribs threatens patients with a long recovery period, serious complications, and psychological stress. So, when resection of the twelfth pair of ribs, the surgeon will not remove unnecessary areas, but only those that are necessary to form a narrower waist, and the protective function of the ribs will thus be preserved. The only thing that can create inconvenience for patients in the future is the appearance at certain periods of a slight nagging pain in the ribs when the weather changes, but taking analgesics during this period, as a rule, relieves the discomfort.
Afterword.
If you decide to reduce your waist size:
- first you need to try various methods of waist reduction, excluding rib removal;
- if the decision to undergo surgery is made: it is necessary to talk with people who have undergone similar operations, select a reliable plastic surgery clinic and make an appointment with a plastic surgeon, who will determine whether the operation is necessary and conduct the necessary tests for contraindications, taking into account the patient’s physique;
- During the consultation, you must ask the doctor in detail about all aspects of the operation. Assess the pros and cons, taking into account the presence of pain throughout the postoperative period.
- During the entire rehabilitation period, you must strictly follow all the instructions of the surgeon who performed the operation.
Pixie Fox
Source: @pixeefox
Dita may compete with a model from Sweden, who is nicknamed “living Barbie.” Pixie tries so hard to resemble the famous doll that she has resorted to the help of a plastic surgeon more than once. Fox's waist also deserves attention - its girth is only 40 cm (Dita, move over). It turns out that in order to achieve this silhouette, the model had to remove three pairs of ribs! Now she can’t do without corsets.
Valeria Lukyanova
Source: @valeria_lukyanova21
Another popular girl who dreams of turning into a living doll is Valeria Lukyanova. The model, nicknamed "Odessa Barbie", is doing everything she can to look more like the character. However, Valeria claims that she went under the plastic surgeon’s knife only once to increase her breast size; all other changes were her efforts.
The girl also denies the absence of lower ribs, which she allegedly removed to become the owner of a thin waist. But, if you look at Lukyanova’s earlier photographs, you can see that she is disingenuous. This is also confirmed by many experts.
How is rib resection performed?
Over the years, our today's heroes found doctors who agreed to perform this operation. It is done under general anesthesia and lasts about an hour. Small incisions are made in the back or navel and the bottom of 12 pairs of ribs are removed.
There is nothing unnecessary in the body - these ribs protect the internal organs during a fall or pressure, and their absence can cost a person his life at a critical moment.
It is believed that it is possible to “sharpen” the lower pair of ribs without much harm to health, but some patients, in pursuit of a thin waist, ask to remove the vital 11th and 10th pairs.
Demmy Moor
Source: still from the movie “Striptease”
The actress spent a lot of money to change her appearance. Demi had rhinoplasty, abdominal liposuction, a circular facelift, inserted veneers to become the owner of the famous Hollywood smile, and also had breast enlargement.
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However, Moore did not stop there - before the start of filming the film “Striptease,” the actress decided to have her lower ribs removed so that her figure, which was athletic from birth, would become more feminine and sexy. Of course, these changes are not as noticeable as those of other “brave” stars who want to have a chiseled waist.
Danger after removing the lower ribs
It’s not for nothing that nature created exactly 12 pairs of ribs. It is the lower pairs of ribs that are designed to protect the internal organs that are located in this part of the body. When the lower pairs of ribs are removed, the kidneys, liver and spleen are left without the natural protection created by nature itself. Also, the lower ribs should not be removed for women who plan to have children, since bearing a fetus will be difficult without the lower pair of ribs.
Accidental injuries and simple falls can be fatal. The internal organs remain completely defenseless. Even relatively small impacts can lead to hemorrhage or organ rupture.
Even if you manage to survive without the lower ribs, then as the owners of “wasp waists” age, they will experience nephroptosis - prolapse of the kidneys. As a result, chronic diseases develop, such as lomerulonephritis or pyelonephritis, which shorten life by 5-10 years. In addition, the lower ribs are involved in the breathing process, and after their removal, problems with ventilation of the lungs may arise. Phantom pain also appears at the site of the removed ribs.
But, despite everything, for the sake of unearthly beauty, women go through this suffering so that the reflection in the mirror is stunning.
Let's see what it looks like in real life. It's beautiful, but maybe it's terrible? Does the end really justify the means?
Lady Gaga
Source: @ladygaga
The example of Demi Moore was followed by Lady Gaga, who in recent years decided to significantly transform herself and leave the image of a freak in the past. The singer began by changing the shape of her nose, chest and cheekbones. The star admitted that she is also prone to being overweight; all the excess remains on her stomach and hips. Lady Gaga decided to remove her lower ribs to make her figure more attractive.
Kim Kardashian
Source: @kimkardashian
No matter how much Kim insists that she got her appetizing forms from nature, and she maintains these data with the help of diets and exercises in gyms, people will insist that she turned to plastic surgeons. Indeed, with her build, it is unrealistic to have such a thin waist. Many experts also believe the same, who claim that Kardashian more than once turned to professionals for help and also had her ribs removed.
How is surgery to remove the first rib performed?
The patient is placed at an angle of 20 - 30 degrees, the arm is abducted as much as possible. The patient is placed in a supine position with the operated side raised by 20-30 degrees using a roller, the head is slightly turned in the opposite direction. After processing the surgical field, the arm is extended forward with the elbow bent and fixed in a special sleeve attached to the operating table stand. It is necessary to return the arm to the reverse neutral position for 3-5 minutes every 20 minutes to minimize pressure on the brachial plexus and avoid damage.
An 8-10 cm incision is made just above the lower border of the hairline in the armpit and extends from the latissimus muscle to the pectoralis major muscle. Soft tissues and subcutaneous tissue of the chest are separated. Care must be taken not to damage the thoracodorsal and long thoracic nerves, which will run along the lateral edge of the incision.
After reaching the chest wall, you can feel the pulsation of the subclavian artery and the first rib under it. The wound is stretched with a retractor, and the hook is installed according to the pulsation of the subclavian artery, so as not to accidentally damage the brachial plexus. In the middle of the visible rib anterior to the subclavian artery, the anterior scalene muscle is identified, which is the key point of the entire operation.
The anterior scalene muscle must be crossed and done very carefully, without damaging the phrenic nerve, which usually runs along the anterior surface of this muscle. Considering that damage to the phrenic nerve is unacceptable, it is necessary to preserve all visible nerve trunks in the surgical area. The muscle is carefully isolated and dissected at the site of attachment to the first rib. After cutting the anterior scalene muscle, the rib is carefully released from other muscles and ligaments within the intended rib to be resected. Maximum care must be taken to prevent damage to the pleura.
After freeing the ribs from all surrounding tissues, they are crossed starting from the medial edge, in front (sternal end) using special bone scissors. Then the rib is intersected in the posterior, lateral section. The bone edges and especially the inner surface of the rib where the neurovascular bundle is located are processed.
After removing the rib, careful hemostasis of the wound is performed. It is best not to use coagulation deep in the wound, as it is possible to damage the nerves of the brachial plexus. the wound is filled with saline and the inspiratory pressure of the breathing apparatus increases. This is done to check the tightness of the pleura. If air bubbles are released, it is necessary to drain the pleural cavity. Drainage to control hemostasis is installed through a separate puncture. The wound is sutured in layers. The skin is sutured cosmetically.
The wound in the axillary region is sutured tightly with two rows of sutures.
Janet Jackson
Source: @janetjackson
Everyone knows that the singer’s brother, the King of Pop Michael Jackson, was one of the record holders for the number of operations performed. Janet is also suspected of similar procedures, and she claims that she did not follow in the footsteps of her famous relative in order to change anything about herself.
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No matter what the singer says, the professionals are sure that she could not do without plastic surgeons; the wasp waist is also their merit.
Cher
Source: Legion-Media
Throughout her life, the singer has undergone about 100 plastic surgeries (possibly more). Cher always dreamed of a feminine figure, and she especially liked the hourglass type. To achieve what she wanted, the artist had to undergo surgery to remove her ribs in 1980. Cher tried to emphasize her figure and curves with the help of corsets.
