Why does my rib cage/mid stomach stick out so much and how can this be fixed? (photos)

m335.  It appears from your photographs that micro liposuction may be a nice option for you as it appears that you have well-defined region of fat of your central abdominal area, unresponsive to diet and exercise. Be certain to consult with the board-certified plastic surgeon in your region to explore all possible options for you. Good luck.

Hello and thank you for your question. Based on your photograph, you are a
great candidate for waistline contouring liposuction of your abdomen and flanks.  This can greatly improve your overall shape with a
smaller waist.  Make sure you specifically
look at before and after pictures of real patients who have had this
surgery performed by your surgeon and evaluate their results.  The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon