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Does rib remodeling affect breathing?

It is the most repeated question and it has a dedicated study. Respiratory function was specifically assessed after waist reduction through scarless ultrasound-guided monocortical fracture, and published in Aesthetic Surgery Journal Open Forum.

The concern is reasonable: the work is done on the chest wall, which is where the mechanics of breathing happen.

That is why a dedicated paper exists to measure it rather than assume it. The full reading is in the article, linked below.

In the 3,805-patient series no respiratory complication appeared among the five major ones documented.

Where this answer comes from

Respiratory Function Assessment After Waist Reduction Through Scarless Ultrasound-Guided Monocortical Fracture (RibXcar) Surgery for Body Contouring
Aesthetic Surgery Journal Open Forum · 2026 · doi:10.1093/asjof/ojag007
A Multicenter Cohort Study of 3805 RibXcar Cases: Safety and Efficacy in Incisionless Rib Remodeling
Plastic and Reconstructive Surgery - Global Open · 2026 · doi:10.1097/gox.0000000000007929