BACKGROUND: High definition liposculpture (HDL) emerged as an innovative surgical technique that allowed plastic surgeons around the world to achieve higher aesthetic results by carving the underlying muscles and its contours in a new and different fashion compared to prior methods for lipoplasty. The innovative natural, anatomic, and athletic appearance of the body after surgery was achieved through minimal stealth incisions which ended up in imperceptible scarring. The technique has evolved throughout the years by incorporating different artistic concepts, new technologies, multiple approaches to protect the patient, and as a consequence improve the overall outcomes. One of the most recent improvements we have made to High-Definition Body contouring is the addition of bone remodeling surgeries to overcome the lack of silhouette over the waist, and as a result optimize the breast-waist-hip ratios. METHODS: We are currently running a multi-center study in which we have completed 100+ surgeries of rib remodeling. UUAIST stands for Ultrasonic-piece and Ultrasound-Assisted Indentation Surgery of Torso, while RIBOSS does for Rib OsteoSynthesis Surgery. Both techniques have their ground on the previously described surgery for waist narrowing by Dr Kudzaev. However, we have improved the outcomes by doing minimally invasive surgery and also promoting fast recovery depending on each patient's case. We have also performed some cases of rib resection, under the technique of Dr Verdugo, however such technique is more time-consuming and technically riskier. RESULTS: No major complications have been reported. Most common complication is related to prolonged pain, and contour asymmetry, which have both been associated with the non-compliance of constant garment + corset wearing. Riboss technique has a faster recovery and does not require constant use of corset. However, compression garments are required, and scar length is considerable bigger than that from UUAIST technique. CONCLUSIONS: High Definition and Dynamic Definition liposculpture procedures are safe and reproducible techniques to attain not only an athletic and but also a natural body contour. The evolution of the technique has incorporated multiple technologies, advancements of the technique and also excisional procedures. Bone remodeling surgery might be the new game-changer for those individuals who require even more waist definition and improve the overall breast-waist-hip ratio. We have designed new approaches tailored to the needs and preferences of patients who usually lack a curvy structure of the body, especially for those extremely fit patients and those who seek gender affirming surgeries to change their overall body silhouette.