Is Rib Removal Safe If I Have Extra Large Breast Implants?

Q: Dr. Eppley, I would like to have four to six ribs removed. I am also planning on extra large breast tissue expanders to reach a goal of 5000cc to 6000cc in each breast. Given that would it be safe to remove four ti six 4-6 floating ribs if I have 6000cc saline in my breasts? I am 1.75 cm tall and weigh 54kg. Thanks.

A: I have done rib removal in numerous women who have had breast implants well in excess of 1000ccs. I have no experience in rib removal in women with breast volumes as you have or are going to get. However, I presume your question is based on that such large breast implants would not be supported by a ribcage that has been modified? I don’t see any correlation between implant/body support and a modified lower ribcage. The strength to support that breast weight/size comes from muscle support not a fully intact ribcage.

Dr. Barry Eppley

Indianapolis, Indiana