costal cartilage reduction / underbust stuff

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@ -362,7 +362,7 @@ Here are some good resources on this:
#### Dangerous Darth Method
This is a subtype of "waist training".
This is a subtype of "waist training" but for underbust.
This method, labelled dangerous, by darth, involves following practices that are actively reccomended against in the FtM community when binding. may cause pain, costochondritis, cracked or fractured ribs, reduced lung capacity, lung or kidney damage from floating ribs etc.
@ -390,9 +390,13 @@ See [Reddit wiki](https://old.reddit.com/r/TransSurgeriesWiki/wiki/other#wiki_ri
#### Rib removal surgery
I generally do not reccomend this unless you really want it. You may be able to achieve a better shape, but your ribs exist to protect your vital organs, and removing them stops them from being able to do so. You also are likely to get significant scars on your torso. The shape you get is probably better than you would get from waist narrowing surgery.
On vibes I do not reccomend this unless you really want it. You may be able to achieve a better shape, but your ribs exist to protect your vital organs, and removing them stops them from being able to do so. You also are likely to get significant scars on your torso. The shape you get is probably better than you would get from waist narrowing surgery.
####
#### Costal cartilage reduction
If wanting to surgically alter underbust, you can do a Costal cartilage reduction / rib osteotomies. Procedures like Ravitch Procedure were mostly invented for people with pectus excavatum (concave chest), and are quite rare to do for cosmetic reasons, and likely quite expensive.
There is [some discussion of this on reddit](https://old.reddit.com/r/4tran4/comments/1ovhl9b/this_surgery_for_pectus_excavatum_could_possibly/){.source-link} but it's quite uncommon. The only person who seems to do it is Dr Leif Rogers.
### Shoulders

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<strong>📄 Archived:</strong> 2025-11-16 22:22:09 UTC
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<strong>🔗 Source:</strong> <a href="https://old.reddit.com/r/4tran4/comments/1ovhl9b/this_surgery_for_pectus_excavatum_could_possibly/">https://old.reddit.com/r/4tran4/comments/1ovhl9b/this_surgery_for_pectus_excavatum_could_possibly/</a>
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<h1>This surgery for pectus excavatum could possibly reduce ur upper ribcage🥴</h1>
<p><strong>r/4tran4</strong> • by u/Warm-Adeptness4174 • 134 points</p>
<div class='post-content'><div class="md"><p>Ravitch procedure, it cuts out some of the cartilage attaching ur ribs to ur sternum. Combining that with ribxcar and basically doing it for upper torso could be possible in the future. I looked and one guy who got it done literally got a reduction in his ribcage breadth without that even being the goal. </p>
<p>It would be insanely expensive and a major surgery so youd have trouble ever finding a competent team willing to do it but I genuinely believe it could be possible. </p>
<p>All the underbust talk has me extremely wormed</p>
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<h2>Comments</h2>
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<strong>u/SoftTinyKittenPaws</strong> • 72 points
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<div class="md"><p>omggg this shud be tagged as hopefuel tbhon</p>
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<strong>u/rabidkittybite</strong> • 40 points
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<div class="md"><p>until u see the price then its ropefuel</p>
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<strong>u/Complete_Escape_9496</strong> • 72 points
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<div class="md"><p>IN THE FUTURE HONS WILL BE REMADE INTO PASSOIDS</p>
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<strong>u/Leading_Charge8007</strong> • 42 points
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<div class="md"><p>Bro was pooner maxing</p>
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<strong>u/ikheetsoepstengel</strong> • 4 points
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<div class="md"><p>With botched peri? Yeah...</p>
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<strong>u/Agitated_Court_6785</strong> • 30 points
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<div class="md"><p>Please tell me someone has that screenshot from the board where its a photo of that asking what exercise he can do to fix it and someone sends a photo of a plunger.</p>
<p>Im too lazy to go find it</p>
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<strong>u/ttriplegoose</strong> • 21 points
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<div class="md"><p>oh! i had a severe case and got the ravitch procedure. unfortunately the positives kinda cancel out because living so many years with pectus flares your bottom ribs out in the front and make them look a bit weird, even after surgery.</p>
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<strong>u/LemonLime1892</strong> • 21 points
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<div class="md"><p><a href="https://preview.redd.it/s2cezwpeuw0g1.jpeg?width=828&amp;format=pjpg&amp;auto=webp&amp;s=daac06608b8322447d2a2137495a12927946c69b">https://preview.redd.it/s2cezwpeuw0g1.jpeg?width=828&amp;format=pjpg&amp;auto=webp&amp;s=daac06608b8322447d2a2137495a12927946c69b</a></p>
<p>Many people are saying this</p>
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<strong>u/Curious_Alien_534</strong> • 15 points
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<div class="md"><p>I have pectus. Im a poon</p>
<p>Its over</p>
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<strong>u/PsychologicalTax2674</strong> • 14 points
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<div class="md"><p>I have pectus excavatum so this surgery would also simultaneously fix that too lololol.</p>
<p>I feel like the giant scar would be worse to me than either my ribcage dysphoria or any aspect of pectus excavatum. </p>
<p>Ive never actually been insecure about having pectus excavatum but every time I've taken my shirt off or gone swimming I get people that are like holy shit what the fuck is wrong with you.</p>
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<strong>u/sidnolfilga</strong> • 12 points
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<div class="md"><p>smol ribcage giant shoulders</p>
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<strong>u/schizoslut_</strong> • 1 points
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<div class="md"><p>someday there will be a surgery for that probably</p>
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<strong>u/sidnolfilga</strong> • 7 points
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<div class="md"><p>yea brain transplant</p>
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<strong>u/RothaiRedPanda</strong> • 10 points
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<div class="md"><p>Costal cartilage reduction and rib osteotomies can reduce it. I am working through the details to have this on ribs 6 through 9.</p>
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<strong>u/Warm-Adeptness4174</strong> • 4 points
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<div class="md"><p>Holy ur a god. Who are u consulting with that offers that type of thing currently? I cant find anything close that isnt for correcting regular non tranny deformities</p>
<p>Also are they limited at six or can they go higher?</p>
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<strong>u/RothaiRedPanda</strong> • 2 points
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<div class="md"><p>Dr Leif Rogers does it. Use rib xcar on 10 to 12 (already did that) then costal cartilage reduction and osteotomies on 6 through 9. You need to call and ask about it. A procedure is in development to do ribs 1 to 5 as well but it's not ready yet. I already have a 30" underbust and I'm 5'8" so I don't think I need 1 to 5 done.</p>
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<strong>u/Warm-Adeptness4174</strong> • 2 points
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<div class="md"><p>Ok damn so it is only him who does anything similar to this. ty</p>
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<strong>u/RothaiRedPanda</strong> • 1 points
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<div class="md"><p>As of now to this degree, yes. Others do rib xcar higher up but typically forego the cartilage reduction and that part is very important!</p>
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<strong>u/TGirlAltAccount</strong> • 6 points
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<div class="md"><p>Holy shit holy shit need need need need this is going on the list</p>
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<strong>u/Anon_IE_Mouse</strong> • 6 points
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<div class="md"><p>Yeah, This is exactly what leif rogers is working on developing, albiet with a better looking scar.</p>
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<strong>u/Warm-Adeptness4174</strong> • 4 points
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<div class="md"><p>Holyyy Im looking and mf is a delectably mad scientist thank u for putting me on</p>
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<strong>u/Anon_IE_Mouse</strong> • 5 points
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<div class="md"><p>Yeah I mean to balance out the mad part he is currently under investigation by the cal medical board because a woman got a deep vein thrombosis after a surgery with him and died. I dont know if it is totally his fault, but it seems like he didnt prescribe the proper medication even though she was at risk. </p>
<p><a href="https://youtu.be/oyoK9-b7m2Q">https://youtu.be/oyoK9-b7m2Q</a></p>
<p>Starts at like 1:10</p>
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<strong>u/Intelligent-Tea-2058</strong> • 5 points
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<div class="md"><blockquote>
<p>albiet with a better looking scar</p>
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<p>Yep! Access via inframammary fold</p>
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<strong>u/charlottt4</strong> • 5 points
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<div class="md"><p>There's something else that might help us, I'm going to post a video I saw of a surgeon showing the simulation of costal remodeling in some minutes</p>
<p><a href="https://preview.redd.it/k15evfppxw0g1.jpeg?width=960&amp;format=pjpg&amp;auto=webp&amp;s=5fc1583a451fa6ec228db758b9e6fbb9b487541d">https://preview.redd.it/k15evfppxw0g1.jpeg?width=960&amp;format=pjpg&amp;auto=webp&amp;s=5fc1583a451fa6ec228db758b9e6fbb9b487541d</a></p>
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<strong>u/Worm-eyes</strong> • 4 points
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<div class="md"><p>its all about money</p>
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<strong>u/Panomaniac</strong> • 3 points
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<div class="md"><p>wait wtf i literally have mild pectus excavatum </p>
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<strong>u/RottenSelf</strong> • 4 points
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<div class="md"><p>I had ribxcar but now I need this so bad sigh too bad I prolly wont be able to get it cause no surgeon would wanna do this just for a tranny</p>
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<strong>u/Adulations</strong> • 4 points
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<div class="md"><p>I need a full bone-ectomy tbhon</p>
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<strong>u/trvemanmotor</strong> • 3 points
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<div class="md"><p>ribcage taper!</p>
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<strong>u/trvemanmotor</strong> • 3 points
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<div class="md"><p>massive hopefuel, i want this so bad</p>
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<strong>u/ClassicArmadillo5063</strong> • 3 points
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<div class="md"><p>"not enough dosh for that one hon"</p>
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<strong>u/NonStickyAdhesive</strong> • 2 points
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<div class="md"><p>Holy shit. I have pectus excavatum. I want this</p>
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<strong>u/LockNo2943</strong> • 2 points
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<div class="md"><p>Would tbh.</p>
<p>Honestly I just need to get back into corseting and try crushing mine some more.</p>
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<strong>u/Confident-Variety512</strong> • 1 points
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<div class="md"><p>is this going to be trannies future version of top surgery scars? (only 1 scar tho)</p>
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<strong>u/NomadJoanne</strong> • 2 points
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<div class="md"><p>Um.... I dunno about that. I think it would just push the ribs outwards anteriorly (forwards). So you would have more of a barrel chest.</p>
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<strong>u/HealingRosy</strong> • -9 points
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<div class="md"><p>Wait.... I have moderately bad pectus excavatum.</p>
<p>Could I go from an underbust passoid to gigapassoid lmao</p>
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<strong>u/PottyCrab</strong> • 7 points
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<div class="md"><p>Sheesh read the room</p>
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