Rib roll - how can this be treated? (Photo)

Question

I have always had what I call a “baby roll” below my breasts (even when I was 20lbs lighter ). I’ve tried to Google and only see that this can be caused by a rib flare. I’ve had two consultations and one dr said it was skin and would need to be excised while another said lipo would work. Tired of always having to hide it and limit what I wear.

Finny George, MD · Answer

Hi, thank you for sharing your question. You can consider skin removal with a moderately sized incision or liposuction + renuvion skin tightening.

Chet Mays, MD · Answer

Thanks for your inquiry!  From the photos sent, it is hard to tell how much of the area is fat or rib. 
 If fat, liposuction would be your answer. It would be great to see you in person to get a hands on approach to your journey.   Make sure to schedule a consultation with a Board Certified Plastic Surgeon to help you reach your goals.

Daniel Barrett, MD · Answer

Dear Mom65389,
it is hard to tell for sure without an examination. Generally speaking, if the skin is the issue then skin excision is the solution and if the fat is the cause of this, then liposuction is the solution. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ryan Rebowe, MD · Answer

Liposuction may be able to make this area less noticeable. However, the adhesion below the ribs will always be there unless surgically released. This would likely best be done during an abdominoplasty to undermine this skin. A reverse abdominoplasty can also be done, however the scar is less favorable.

Arif Eroglu, MD · Answer

Hello; This condition; it occurs because of fat accumulation, skin laxity and bra pressure. It is essential for removing fat and tighten the skin. I recommend for Vaserlipo and Renuvion J Plasma techniques.

Zoran Potparic, MD · Answer

Very likely that role is skin in nature. Liposuction should be an initial treatment. Addition of skin fixation within the inframammary fold (like upper abdominoplasty?) should be considered as well. Good luck.

Camille Cash, MD · Answer

An examination is needed to determine if the area that concerns you is excess skin or fat.  If it is fat, liposuction should improve it.  J-Plasma could be added if there is minor skin laxity.  If it is primarily excess skin and not fat, then excision would be the recommendation to improve the contour.

Connie Hiers, MD, FACS · Answer

for most ladies, liposuction works very well here. an examination is needed to see if you have excess skin or fat. I suspect you have fat for this is an odd place to have excess skin only here.

Richard R. Orr, MD · Answer

It is interesting that you ask this because I have had several women with a similar issue recently.  First of all, this is not rib flare.  Your roll extends all the way across the midline.  There are no ribs there.  I would take an in-person evaluation with a board-certified plastic surgeon, but I would guess this is primarily skin and not fat.  You would be an excellent candidate for a reverse abdominoplasty.  This is where the incision is made along the fold underneath the breasts, the skin is elevated off the underlying muscle down to the belly button, and pulled up, excess skin removed and closed.  It directly attacks this roll.  However, the scar is noticeable.  It is a definite trade-off, because the scar goes across the midline, and therefore, would be noticeable in low cut clothing.  I did one recently and had an excellent result, and the patient is thrilled.
Research this, look at the pros and cons, and see a doctor who is familiar with this technique and can show you photos.  I wish you the best of luck.

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