What's the best way to get rid of fat/skin pooches below breasts on rib cage? (photos)

Question

I have recently lost 20lbs but have found that the little pooches that sit on top of the bottom of my rib cage, below my breasts, are still prominent. I'm natrally large chested so sometimes they form an unattractive roll under my underwire and can be seen in tight clothing. I don't want to lose anymore weight in my hips or breasts (which seem to shrink the most) so I'm reluctant to keep trying to diet these off. What are my best options?

Vincent N. Zubowicz, MD · Answer

From the photographs it looks as though you are fit. It also looks as though the area in question has only modest surplus of fat with good skin overlying it. Liposuction should serve you well. It can be done with local anesthesia only although this is a sensitive area. Sedation is the most popular way combined with local anesthesia. Some patients require a full general anesthetic

Aaron Gilson, DO · Answer

To address fat and skin below the breasts on the rib cage, especially after weight loss, non-surgical options like targeted cryolipolysis (fat freezing) or radiofrequency treatments might help reduce the remaining fat deposits if they are minor. However, for more significant or stubborn areas, a surgical approach such as liposuction might be more effective. Liposuction can precisely remove fat from these targeted areas without further weight loss from other body parts you wish to preserve. Always consult with a board-certified plastic surgeon to evaluate your specific situation and recommend the best treatment options for your goals.

Kevin Tehrani, MD, FACS · Answer

Thank you for your question and for posting appropriate pictures. You seem to be a good candidate for liposuction as long as the "rolls" are not loose skin, but rather fatty deposits. Liposuction is a great options for patients who are at their goal weights, but have stubborn deposits that are not addressed with healthy eating and exercise. You should make sure you're working with a board certified plastic surgeon for precise recommendations and best results.

Jason Emer, MD · Answer

As long as you don't need skin removal, it looks like you would be a great candidate for liposuction. VASER liposuction can sculpt and contour the body and results can be seen immediately. 4D HI DEFINITION in combination with ThermiRF, ultrasound and fat grafting will help with fat removal, contouring, skin tightening and toning. I recommend getting a formal consultation with a body contouring expert. Best, Dr. Emer

Robert M. Tornambe, MD · Answer

it appears from your photos that liposuction of the regions is your best option and skin should shrink down satisfactorily after. Be sure to consult with a board certified plastic surgeon. Good Luck!

Don W. Griffin, MD · Answer

Your options include both non-operative and operative procedures. Radio frequency fat reduction (Exilis) or cryolipolysis (CoolSculpting) can provide nice results and work on most patients. Exilis also provides some skin tightening while CoolSculpting only reduces fat. Alternatively, a simple liposuction procedure that can be done with either a local or general anesthetic works nicely on this area. Seek out a board certified plastic surgeon in your area to discuss the options.

Thomas Fiala, MD, FACS, FRCSC · Answer

The pooch is caused by a combination of a little fat and a little skin laxity.  Fortunately, in your case, it is very mild.  In addition to liposuction, CoolSculpting could be done to that area to reduce the fullness.  Best to see a Board-certified Plastic Surgeon to discuss the pros and cons of both approaches.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and congratulations on your weight loss!  If the skin of your lower ribcage/upper abdomen is of good quality - has recoil/elasticity and little stretch marks - you are a very good liposuction candidate.  See an ASPS board certified plastic surgeon in consultation for an in-person evaluation and discussion of your desired results.  Best wishes.

Agustina Hilario Duran, MD · Answer

Hi! Thanks for your question. Liposuction can be an effective option for stubborn fat or skin pooches below your breasts on the rib cage, even after weight loss. Since you don’t want to lose more weight in your hips or breasts, targeted liposuction in this area can help improve contour without affecting other parts of your body. Additionally, non-invasive treatments like CoolSculpting or skin-tightening procedures may also be options, depending on whether there is excess skin. A consultation with a plastic surgeon will help determine the best approach for your body and goals.

E. Ronald Finger, MD · Answer

Thank you for your question and photographs. To treat the excess fat over your lower ribs just below your breast, a liposuction would be the simplest and most effective procedure for you. This can be done under local anesthesia with minimal discomfort and recovery time.

As with any liposuction, the final result will take several months because of the swelling. However, it will be improved over your present appearance in 2 to 3 weeks.

Again, thank you for your question, and congratulations on your weight loss. Best of luck to you.

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What's the best way to get rid of fat/skin pooches below breasts on rib cage? (photos)

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