“Slim Waist Forever: Safe Rib Contouring with the Kudzaev Technique” is a collaborative post.
The shape of the waist is determined by the bone structure, and it is important to take this into account. Among non-surgical methods, compression corsets are most commonly used. However, to achieve a visible waistline, they must be worn for a very long time — often for years. Modern patients are usually not ready for such a commitment.

Surgical Methods of Waist Reduction
Now let’s move on to surgical methods. There are many ways to contour the waist, but it’s essential to target the bone structures — the 10th, 11th, and 12th ribs. Previously, rib removal was used for this purpose, but now there is a less traumatic and safer method — waist narrowing through rib reshaping without removal. The essence of the method lies in changing the geometry of the lower ribs, which visually makes the waist look slimmer.
Who Is a Good Candidate
This operation is not suitable for everyone — only patients with specific anatomical features of the rib cage achieve impressive results. Another key requirement is a body mass index (BMI) below 24.
How the Surgery Is Performed
The Kudzaev waist narrowing method is a unique technique that allows significant waist reduction — sometimes up to a record 15–17 cm — in just one procedure performed under local anesthesia, through two micro-incisions in the lower back area.
By making small notches on the lower pairs of ribs — the eleventh and twelfth floating ribs — the surgeon changes the rib cage shape, which visually narrows the waist.
The procedure is carried out under CT scan guidance, which is done before the operation. Based on the CT results, a detailed plan and precise mathematical calculations are made to predict the expected outcome — whether it’s a reduction of 2 cm, 5 cm, or even 12 cm.
Recovery and Corset Wear
Recovery lasts at least three months. During this period, patients must wear a special corset 24/7 to fix the new rib shape. Some patients even order custom handmade anatomical corsets made of velvet and lace — and many later don’t want to part with them.
Read more: Corsets, Pain and Scars: Honest Patient Experiences After Rib Reshaping Surgery
The corset must be worn for 3–4 months — this is the key condition for a successful recovery.
After three months, a follow-up CT scan is performed to assess the results. If bone fusion is incomplete, corset wear continues for another three months.
Any physical activity during the recovery period is strictly prohibited, as active breathing can interfere with rib healing.
Conclusion
A slim waist will stay with you forever — even after pregnancy and childbirth. The rib cage may temporarily expand, but it will naturally return to its previous shape.
To find out whether this surgery is suitable for you, schedule an in-person consultation with a plastic surgeon. If you are preparing for the procedure, have a 3D CT scan of the chest done and bring the results for detailed planning.
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