Can Clavicle Lengthening Be Done By Distraction Devices?

Q: Dr. Eppley, My question is about the possibility of ribcage expansion + pelvic narrowing + clavicle lengthening to create a bone structure for the optimal “V-taper look”, that is desired by many bodybuilders. I notice you already answered a similar question ( But i am asking again in the case of any new technological developments. 

Compare the image provided. Would it be possible for the left’s clavicle to transform into the right? Or, do you think rather the right’s picture has more of a camera angle illusion, perhaps flexing his lats to create more of a V-taper compared to the unfortunate shoulders of the left. 

Do you think it would be possible to undergro ribcage expansion + claviacle lengthening + pelvic reduction with smaller, mini Distraction osteogenesis devices getting released?  

Have you ever completed any pelvic narrowing/waist narrowing procedure on men who desired the small waist, V-tape look? If so, what methods were needed to achieve their desired look?

A:In answer to your questions:

1) Clavicle lengthening osteotomies is a real and effective procedure. For now it is done by a sagittal split technique. Distraction osteogenesis with acceptable devices and limited scarring does not yet exist.

2) Ribcage expansion is not a real or even safe procedure.

3) Iliac crest reduction is an actual procedure which may be combined with rib removal of the goal is a very tapered waistline.

Dr. Barry Eppley

Indianapolis, Indiana