Can The Subcostal Rib Margin Be Shaved/Reduced?

Q: Dr. Eppley, This girl isn’t me (I found her pics on reddit) but the area I circled is almost the same exact area where I have protrusion 

I. Is that subcostal rib margin? 

2. If so are they low enough where they could be removed or shaved? 

3. I don’t mind scars but would the surgery make much of a difference? 

4. Even if they aren’t the subcostal rib margin, are they still ribs that can be removed? 

Thank you. 

A: I don’t see any circle area on the picture so I circled what I think you are likely referring to which would be the lateral subcostal margins. (see attached) Those rib margin areas can be reduced by shaving. It is the most common anterior rib area treated for reduction. It does require a small incision over the area to perform the procedure and the acceptance of the resultant scar is the only limiting consideration.

Dr. Barry Eppley

Indianapolis, Indiana