{"id":4200,"date":"2026-10-13T09:47:54","date_gmt":"2026-10-13T08:47:54","guid":{"rendered":"https:\/\/www.medespoir.com\/blog\/?p=4200"},"modified":"2026-10-13T09:47:54","modified_gmt":"2026-10-13T08:47:54","slug":"ribxcar-sarah-massie-raconte-sa-journey-de-remodelage-de-silhouette-en-tunisie","status":"publish","type":"post","link":"https:\/\/www.medespoir.com\/blog\/2026\/10\/13\/ribxcar-sarah-massie-raconte-sa-journey-de-remodelage-de-silhouette-en-tunisie\/","title":{"rendered":"RibXcar : Sarah Massie raconte sa journey de remodelage de silhouette en Tunisie"},"content":{"rendered":"<p><!--\n(\u00c0 renseigner dans WordPress : titre (title) et meta description. Le fichier d'origine n'en contenait pas, ni de h1.)\nMise en forme : feuille de style du mod\u00e8le navy\/or ajout\u00e9e ; chap\u00f4 en lead-intro ; \u00ab L'essentiel \u00bb en tldr-box ; une \u00e9tiquette (eyebrow) ajout\u00e9e devant chaque h2 ; lien YouTube du bloc vid\u00e9o transform\u00e9 en lecteur int\u00e9gr\u00e9 (m\u00eame vid\u00e9o y9aFG1WzPsQ), lien d'origine conserv\u00e9 dessous ; dernier lien YouTube en bouton.\nAJOUT demand\u00e9 : bloc chirurgien Dr Youssef Gam (carte comme dans Ozempic Face) dans la section \u00ab Dr Youssef Gam : la confiance dans le choix du chirurgien RibXcar \u00bb ; le texte d'origine de la section (choix de Sarah, formation, certification AX Scientific Lab, seul chirurgien certifi\u00e9 en Tunisie, les deux liens de r\u00e9f\u00e9rences) est repris tel quel dans la carte.\nCorrection : texte du lien vers ribxcar.php \u00ab \u2026remodelage des c\u00f4tes par fracturation \u00bb remplac\u00e9 par \u00ab \u2026sans fracture \u00bb (RibXcar = remodelage sans fracture). L'URL du lien est inchang\u00e9e.\nAJOUT : capture AX Scientific Lab (annuaire officiel des chirurgiens certifi\u00e9s, formulaire de consentement RibXcar) ins\u00e9r\u00e9e en fin de carte Dr Gam, int\u00e9gr\u00e9e en base64 (15 Ko) : pour l'h\u00e9berger, t\u00e9l\u00e9verser l'image dans la m\u00e9diath\u00e8que et remplacer la valeur de src. Texte de l'encart repris tel quel (version de Slim, sans la mention \u00ab \u00c0 la date de publication\u2026 pr\u00e9sent\u00e9 par Medespoir \u00bb).\nMise \u00e0 jour : encart Dr Gam remplac\u00e9 par la derni\u00e8re version (capture annuaire ribxcar.org + capture AX Scientific Lab, texte de Slim inchang\u00e9) ; les r\u00e8gles de style des captures sont fusionn\u00e9es dans la feuille de style unique (plus de second bloc de style). Les deux photos de Sarah ajout\u00e9es par Slim sont mises dans le cadre des images de l'article (figure) avec l'URL pleine taille (miniatures -172x300 et -300x161 remplac\u00e9es) ; texte alternatif corrig\u00e9 (\u00ab Messie \u00bb \u2192 \u00ab Massie \u00bb). Les captures sont en base64 : remplacer par des URL de la m\u00e9diath\u00e8que si besoin.\n--><\/p>\n<style>\n    :root { --navy:#0b1f4a; --navy-mid:#1a3a6b; --navy-light:#e8edf6; --gold:#c9a04e; --gold-light:#f5ead4; --off-white:#f8f7f4; --text-dark:#1a1a2e; --text-mid:#4a5568; --accent-amber:#b5750c; --border:#dde3ef; --radius:12px; }\n    .ma-blog-article * { box-sizing: border-box; }\n    .ma-blog-article { font-family:'DM Sans',Arial,sans-serif; color:var(--text-dark); line-height:1.75; font-size:17px; }\n    .ma-blog-article h2 { font-family:'Playfair Display',Georgia,serif; color:var(--navy); font-size:clamp(22px,3vw,30px); font-weight:700; line-height:1.3; margin:0 0 22px; }\n    .ma-blog-article h3 { font-family:'Playfair Display',Georgia,serif; color:var(--navy); font-size:clamp(19px,2.4vw,23px); font-weight:700; line-height:1.3; margin:46px 0 18px; }\n    .ma-blog-article p { margin:0 0 20px; }\n    .ma-blog-article ul { margin:0 0 20px; padding-left:22px; }\n    .ma-blog-article li { margin-bottom:10px; 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font-size:15.5px; text-align:left; }\n    .ma-blog-article .team-note { text-align:center; }\n    @media(max-width:600px){ .ma-blog-article .team-block { margin-top:48px; } .ma-blog-article .team-card { padding:26px 20px 22px; } }\n    .ma-blog-article .team-grid.solo { grid-template-columns:minmax(0,720px); justify-content:center; margin-top:8px; }\n    .ma-blog-article .team-card p:not(.team-role) { text-align:left; font-size:15.5px; margin:0 0 12px; }\n    .ma-blog-article .team-refs { margin-top:18px; padding-top:16px; border-top:1px solid var(--border); }\n    .ma-blog-article .team-refs p { margin:0 0 10px; }\n    .ma-blog-article .team-refs p:last-child { margin-bottom:0; }\n    .ma-blog-article .team-proof { margin:22px 0 0; text-align:center; }\n    .ma-blog-article .team-proof img { display:block; width:100%; max-width:300px; height:auto; margin:0 auto 10px; border-radius:var(--radius); box-shadow:0 8px 22px rgba(11,31,74,0.18); }\n    .ma-blog-article .team-proof-wide img { max-width:560px; }\n    .ma-blog-article .team-proof + .team-proof { margin-top:26px; }\n    .ma-blog-article .team-proof figcaption { font-size:13.5px; line-height:1.5; color:var(--text-mid); }\n    @media(max-width:600px) {\n        .cta-devis-box { padding:28px 20px; }\n    .ma-blog-article { font-size:16px; }\n    .ma-blog-article .eyebrow-tag { margin-top:54px; }\n    .ma-blog-article .lead-intro { padding:22px 20px; font-size:17px; }\n    .tldr-box, .note-box, .blog-sommaire { padding-left:20px; padding-right:20px; }\n    .td-zone .td-head, .td-zone .td-body { padding-left:20px; padding-right:20px; }\n    .td-doctor { padding:24px 20px; }\n    .stat-grid { grid-template-columns:1fr 1fr; }\n    .term-grid { grid-template-columns:1fr; }\n    .cta-button-box { padding:26px 20px; }\n    }\n<\/style>\n<div class=\"ma-blog-article\">\n<figure class=\"featured-media\"><a href=\"https:\/\/www.medespoir.com\/blog\/wp-content\/uploads\/2026\/10\/sarah-massie-ribxcar.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"486\" height=\"847\" src=\"https:\/\/www.medespoir.com\/blog\/wp-content\/uploads\/2026\/10\/sarah-massie-ribxcar.jpg\" alt=\"Sarah Massie, remodelage de silhouette RibXcar en Tunisie\" class=\"alignnone size-full wp-image-4204\" srcset=\"https:\/\/www.medespoir.com\/blog\/wp-content\/uploads\/2026\/10\/sarah-massie-ribxcar.jpg 486w, https:\/\/www.medespoir.com\/blog\/wp-content\/uploads\/2026\/10\/sarah-massie-ribxcar-172x300.jpg 172w\" sizes=\"auto, (max-width: 486px) 100vw, 486px\" \/><\/a><\/figure>\n<div class=\"lead-intro\">\n<p>Pourquoi Sarah Massie a-t-elle choisi la Tunisie pour transformer sa silhouette ? Dans son parcours r\u00e9cent chez Medespoir, cette Canadienne francophone origine de l&rsquo;Outaouais a fait confiance au Dr Youssef Gam pour son projet de silhouette en sablier, avec une technique de remodelage costal appel\u00e9e RibXcar.<\/p>\n<p>De la pr\u00e9paration \u00e0 l&rsquo;intervention, en passant par son exp\u00e9rience sur place et l&rsquo;avis de son compagnon, sa journey permet de d\u00e9couvrir les diff\u00e9rentes \u00e9tapes d&rsquo;un s\u00e9jour de chirurgie esth\u00e9tique \u00e0 l&rsquo;\u00e9tranger.<\/p>\n<\/div>\n<div class=\"tldr-box\">\n<h2>L&rsquo;essentiel : la journey RibXcar de Sarah Massie<\/h2>\n<p>R\u00e9cemment, Sarah Massie a choisi Medespoir et le Dr Youssef Gam en Tunisie pour son projet de remodelage de silhouette en sablier, associ\u00e9 \u00e0 la tendance Barbie Waist. Le chirurgien lui a pr\u00e9conis\u00e9 la technique RibXcar, qui permet de remodeler les c\u00f4tes sans proc\u00e9der \u00e0 leur ablation.<\/p>\n<p>Dans sa vid\u00e9o t\u00e9moignage, Sarah partage son exp\u00e9rience, des pr\u00e9paratifs \u00e0 l&rsquo;op\u00e9ration, tandis que son compagnon apporte \u00e9galement son regard sur cette aventure. Son parcours met en lumi\u00e8re trois aspects importants pour les patients canadiens francophones : l&rsquo;accompagnement pendant le s\u00e9jour, la possibilit\u00e9 d&rsquo;\u00e9changer en fran\u00e7ais avec le personnel et la confiance accord\u00e9e au chirurgien.<\/p>\n<\/div>\n<p><span class=\"eyebrow-tag\">Silhouette<\/span><\/p>\n<h2>Sarah Massie et la Barbie Waist : pourquoi choisir le remodelage costal ?<\/h2>\n<p>Obtenir une taille plus marqu\u00e9e et une silhouette en sablier est un objectif esth\u00e9tique qui suscite un int\u00e9r\u00eat croissant, notamment aupr\u00e8s des personnes attir\u00e9es par la tendance Barbie Waist.<\/p>\n<p>Derri\u00e8re cette expression populaire se trouve une recherche de proportions : accentuer le creux de la taille et cr\u00e9er une transition plus visible entre le thorax et les hanches.<\/p>\n<p>Mais toutes les silhouettes ne r\u00e9pondent pas aux m\u00eames contraintes. Chez certaines personnes, la largeur de la partie inf\u00e9rieure de la cage thoracique contribue \u00e0 donner \u00e0 la taille un aspect relativement droit, m\u00eame lorsque les volumes graisseux sont limit\u00e9s. Une liposuccion ne peut pas modifier la structure osseuse elle-m\u00eame.<\/p>\n<p>C&rsquo;est dans ce contexte que le remodelage costal peut \u00eatre envisag\u00e9. Apr\u00e8s \u00e9valuation de la morphologie et du projet esth\u00e9tique de Sarah, le Dr Youssef Gam lui a pr\u00e9conis\u00e9 la technique RibXcar.<\/p>\n<p>L&rsquo;objectif est de travailler le contour de la taille en modifiant de fa\u00e7on contr\u00f4l\u00e9e la forme ou l&rsquo;orientation de certaines c\u00f4tes, sans les retirer.<\/p>\n<p>Cette approche se distingue donc de la costectomie, qui consiste \u00e0 retirer une partie d&rsquo;une ou de plusieurs c\u00f4tes. Elle ne signifie pas pour autant que l&rsquo;intervention est anodine : le remodelage costal reste un acte chirurgical qui n\u00e9cessite une indication adapt\u00e9e, une information sur les risques et un suivi m\u00e9dical rigoureux.<\/p>\n<p>Pour comprendre le principe de cette m\u00e9thode, ses indications et ses particularit\u00e9s, <a href=\"https:\/\/www.medespoir.com\/ribxcar.php\">lisez ici ce qu&rsquo;il faut savoir sur la technique RibXcar de remodelage des c\u00f4tes sans fracture<\/a>.<\/p>\n<figure class=\"featured-media\"><a href=\"https:\/\/www.medespoir.com\/blog\/wp-content\/uploads\/2026\/10\/sarah-massie-dr.gam_.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"1230\" height=\"662\" src=\"https:\/\/www.medespoir.com\/blog\/wp-content\/uploads\/2026\/10\/sarah-massie-dr.gam_.jpg\" alt=\"Sarah Massie et le Dr Gam : son op\u00e9ration en Tunisie avec Medespoir\" class=\"alignnone size-full wp-image-4205\" srcset=\"https:\/\/www.medespoir.com\/blog\/wp-content\/uploads\/2026\/10\/sarah-massie-dr.gam_.jpg 1230w, https:\/\/www.medespoir.com\/blog\/wp-content\/uploads\/2026\/10\/sarah-massie-dr.gam_-300x161.jpg 300w, https:\/\/www.medespoir.com\/blog\/wp-content\/uploads\/2026\/10\/sarah-massie-dr.gam_-1024x551.jpg 1024w, https:\/\/www.medespoir.com\/blog\/wp-content\/uploads\/2026\/10\/sarah-massie-dr.gam_-768x413.jpg 768w\" sizes=\"auto, (max-width: 1230px) 100vw, 1230px\" \/><\/a><\/figure>\n<p><span class=\"eyebrow-tag\">T\u00e9moignage<\/span><\/p>\n<h2>La vid\u00e9o de Sarah Massie : sa journey RibXcar en Tunisie, de la pr\u00e9paration \u00e0 l&rsquo;apr\u00e8s-op\u00e9ration<\/h2>\n<p>Pour se faire une id\u00e9e plus concr\u00e8te d&rsquo;un s\u00e9jour de remodelage costal en Tunisie, rien ne remplace le r\u00e9cit d&rsquo;une personne qui vient de vivre cette exp\u00e9rience.<\/p>\n<p>La vid\u00e9o consacr\u00e9e \u00e0 Sarah Massie permet de suivre plusieurs moments de son parcours chez Medespoir, avec un aper\u00e7u de la pr\u00e9paration, de l&rsquo;intervention et de son t\u00e9moignage avant et apr\u00e8s.<\/p>\n<p>On y d\u00e9couvre \u00e9galement le regard de son compagnon, qui apporte un autre point de vue sur cette exp\u00e9rience. Pour les personnes qui envisagent elles aussi une chirurgie de la silhouette \u00e0 l&rsquo;\u00e9tranger, ces images permettent de mieux comprendre le d\u00e9roulement du s\u00e9jour et la place de l&rsquo;accompagnement dans le parcours.<\/p>\n<h3>Voir la vid\u00e9o : Sarah Massie partage son exp\u00e9rience RibXcar<\/h3>\n<p>D\u00e9couvrez la journey de Sarah en Tunisie, son t\u00e9moignage, les pr\u00e9paratifs de l&rsquo;op\u00e9ration, un aper\u00e7u de la proc\u00e9dure et l&rsquo;avis de son compagnon.<\/p>\n<figure class=\"yt-fig\">\n<div class=\"yt-wrap\"><iframe src=\"https:\/\/www.youtube.com\/embed\/y9aFG1WzPsQ\" title=\"T\u00e9moignage vid\u00e9o de Sarah Massie : sa journey RibXcar en Tunisie avec le Dr Youssef Gam\" loading=\"lazy\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/figure>\n<p><a href=\"https:\/\/www.youtube.com\/watch?v=y9aFG1WzPsQ\" target=\"_blank\" rel=\"noopener noreferrer\">Regarder le t\u00e9moignage vid\u00e9o de Sarah Massie sur YouTube<\/a><\/p>\n<p>Ce t\u00e9moignage constitue un retour d&rsquo;exp\u00e9rience individuel. Les r\u00e9sultats visibles et le v\u00e9cu postop\u00e9ratoire varient d&rsquo;une personne \u00e0 l&rsquo;autre ; ils ne permettent pas de pr\u00e9dire le r\u00e9sultat d&rsquo;une future intervention.<\/p>\n<p><span class=\"eyebrow-tag\">Accompagnement<\/span><\/p>\n<h2>Pourquoi Sarah Massie a-t-elle choisi Medespoir pour son remodelage silhouette ?<\/h2>\n<p>Lorsqu&rsquo;on envisage une chirurgie esth\u00e9tique dans un autre pays, le choix ne repose pas uniquement sur la technique op\u00e9ratoire. La qualit\u00e9 de la prise en charge, la disponibilit\u00e9 des \u00e9quipes et la possibilit\u00e9 de communiquer facilement sont \u00e9galement des \u00e9l\u00e9ments importants.<\/p>\n<p>Dans le parcours de Sarah Massie, le choix de Medespoir s&rsquo;inscrit dans cette recherche d&rsquo;un accompagnement global. La prise en charge, l&rsquo;encadrement pendant le s\u00e9jour et la disponibilit\u00e9 des \u00e9quipes font partie des aspects qu&rsquo;elle met en avant dans son exp\u00e9rience.<\/p>\n<h3>Un accompagnement qui ne s&rsquo;arr\u00eate pas \u00e0 l&rsquo;op\u00e9ration<\/h3>\n<p>Un s\u00e9jour m\u00e9dical implique plusieurs \u00e9tapes : pr\u00e9paration du voyage, organisation des rendez-vous, arriv\u00e9e sur place, pr\u00e9paration pr\u00e9op\u00e9ratoire, intervention et suivi.<\/p>\n<p>Pour une personne qui se d\u00e9place depuis le Canada, disposer d&rsquo;interlocuteurs identifi\u00e9s et d&rsquo;un accompagnement tout au long du parcours peut faciliter l&rsquo;organisation et aider \u00e0 aborder le s\u00e9jour plus sereinement.<\/p>\n<p>Cette continuit\u00e9 est particuli\u00e8rement importante en chirurgie esth\u00e9tique. Le suivi m\u00e9dical, les consignes postop\u00e9ratoires et la possibilit\u00e9 de signaler un sympt\u00f4me ou de poser une question doivent rester au centre de la prise en charge, y compris apr\u00e8s le retour au pays.<\/p>\n<h3>Le fran\u00e7ais : un v\u00e9ritable avantage pour les Canadiens francophones<\/h3>\n<p>Pour Sarah, le fait de pouvoir \u00e9changer en fran\u00e7ais avec le personnel de Medespoir constitue un avantage appr\u00e9ciable. Lorsqu&rsquo;on pr\u00e9pare une intervention chirurgicale \u00e0 l&rsquo;\u00e9tranger, comprendre les explications, poser ses questions et exprimer ses pr\u00e9occupations dans sa langue facilite les \u00e9changes.<\/p>\n<p>Ce point peut compter tout particuli\u00e8rement pour les patients qu\u00e9b\u00e9cois et les autres Canadiens francophones qui souhaitent entreprendre une d\u00e9marche m\u00e9dicale en Tunisie sans que la barri\u00e8re linguistique complique leur s\u00e9jour.<\/p>\n<p><span class=\"eyebrow-tag\">Chirurgien<\/span><\/p>\n<h2>Dr Youssef Gam : la confiance dans le choix du chirurgien RibXcar<\/h2>\n<p>Le choix du chirurgien est un \u00e9l\u00e9ment d\u00e9terminant dans un projet de remodelage costal. Cette intervention touche \u00e0 la structure osseuse du thorax et n\u00e9cessite une connaissance pr\u00e9cise de l&rsquo;anatomie, une technique ma\u00eetris\u00e9e et une s\u00e9lection rigoureuse des patients.<\/p>\n<div class=\"team-grid solo\">\n<article class=\"team-card\">\n<img decoding=\"async\" class=\"team-photo\" src=\"https:\/\/www.medespoir.com\/blog\/wp-content\/uploads\/2026\/01\/youssef-gam.jpg\" alt=\"Dr Youssef Gam, chirurgien esth\u00e9tique\" width=\"140\" height=\"140\" loading=\"lazy\" \/><\/p>\n<h3>Dr Youssef Gam<\/h3>\n<p class=\"team-role\">Chirurgien esth\u00e9tique \u2014 Medespoir Tunisie<\/p>\n<ul class=\"team-tags\">\n<li>RibXcar<\/li>\n<li>Remodelage costal<\/li>\n<li>Certifi\u00e9 AX Scientific Lab<\/li>\n<\/ul>\n<p>Pour son projet de silhouette en sablier, Sarah Massie a choisi le Dr Youssef Gam, qui pratique le remodelage costal RibXcar en Tunisie. Le chirurgien a suivi une formation sp\u00e9cifique \u00e0 cette technique aupr\u00e8s de son concepteur et dispose d&rsquo;une certification d\u00e9livr\u00e9e par AX Scientific Lab.<\/p>\n<p>Le Dr Gam est  le seul chirurgien en Tunisie form\u00e9 et certifi\u00e9 \u00e0 cette technique RibXcar et qui la pratique dans le pays. Pour les patients qui souhaitent examiner les \u00e9l\u00e9ments permettant d&rsquo;\u00e9tayer cette expertise, deux ressources apportent des informations compl\u00e9mentaires.<\/p>\n<div class=\"team-refs\">\n<p>La premi\u00e8re revient sur sa formation \u00e0 Paris et son parcours dans le domaine du remodelage costal : <a href=\"https:\/\/www.medespoir.com\/blog\/2026\/04\/15\/remodelage-costal-ribxcar-lalternative-experte-a-paris-avec-un-specialiste-certifie\/\">d\u00e9couvrez la formation du Dr Gam \u00e0 Paris et son expertise du remodelage costal RibXcar<\/a>.<\/p>\n<p>La seconde porte sur sa certification et son r\u00e9f\u00e9rencement par AX Scientific Lab : <a href=\"https:\/\/www.medespoir.com\/blog\/2026\/09\/07\/dr-youssef-gam-le-seul-chirurgien-certifie-ax-scientific-lab-pour-le-ribxcar-en-tunisie\/\">consultez les informations sur la certification AX Scientific Lab du Dr Youssef Gam pour le RibXcar en Tunisie<\/a>.<\/p>\n<\/div>\n<figure class=\"team-proof team-proof-wide\">\n<img decoding=\"async\" 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alt=\"Annuaire des chirurgiens RibXcar sur ribxcar.org : le Dr Youssef Gam, Aram, Tunis, est list\u00e9 pour la Tunisie\" width=\"1189\" height=\"695\" loading=\"lazy\" \/><figcaption>Annuaire des chirurgiens sur ribxcar.org : le Dr Youssef Gam (Aram, Tunis) est list\u00e9 pour la Tunisie.<\/figcaption><\/figure>\n<figure class=\"team-proof\">\n<img decoding=\"async\" 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\" alt=\"Annuaire officiel des chirurgiens certifi\u00e9s AX Scientific Lab : formulaire de consentement pour le remodelage costal RibXcar, Acad\u00e9mie du Dr Ra\u00fal Manzaneda Cipriani\" width=\"300\" height=\"209\" loading=\"lazy\" \/><figcaption>Annuaire officiel des chirurgiens certifi\u00e9s d&rsquo;AX Scientific Lab (remodelage costal RibXcar).<\/figcaption><\/figure>\n<\/article>\n<\/div>\n<p>Ces \u00e9l\u00e9ments de formation et de certification peuvent aider \u00e0 comprendre le parcours du praticien. Ils doivent toutefois \u00eatre consid\u00e9r\u00e9s avec les autres crit\u00e8res qui comptent avant une op\u00e9ration : l&rsquo;indication individuelle, les explications sur les risques, les b\u00e9n\u00e9fices attendus, les limites de la technique et les modalit\u00e9s du suivi.<\/p>\n<p><span class=\"eyebrow-tag\">R\u00e9sultats<\/span><\/p>\n<h2>Remodelage costal, Barbie Waist et silhouette en sablier : quel r\u00e9sultat attendre ?<\/h2>\n<p>La Barbie Waist est souvent associ\u00e9e \u00e0 une taille tr\u00e8s creus\u00e9e et \u00e0 une silhouette aux courbes accentu\u00e9es. Le remodelage costal RibXcar peut contribuer \u00e0 modifier le contour de la taille chez certains patients, mais il ne permet pas de promettre une silhouette identique \u00e0 une image de r\u00e9f\u00e9rence ou \u00e0 celle d&rsquo;une autre personne.<\/p>\n<p>Le r\u00e9sultat d\u00e9pend notamment de la morphologie initiale, de la forme de la cage thoracique, des proportions du bassin, des tissus mous et de la cicatrisation. Une consultation permet de d\u00e9terminer si le remodelage costal correspond r\u00e9ellement \u00e0 l&rsquo;objectif recherch\u00e9 et si d&rsquo;autres facteurs doivent \u00eatre pris en compte.<\/p>\n<p>Il est \u00e9galement important de distinguer l&rsquo;objectif esth\u00e9tique de la technique utilis\u00e9e. Barbie Waist d\u00e9crit avant tout un r\u00e9sultat recherch\u00e9 ; RibXcar d\u00e9signe une m\u00e9thode de remodelage costal. Les deux expressions sont li\u00e9es, mais ne sont pas synonymes sur le plan m\u00e9dical.<\/p>\n<p><span class=\"eyebrow-tag\">\u00c0 retenir<\/span><\/p>\n<h2>Ce que le parcours de Sarah Massie peut apprendre aux futurs patients<\/h2>\n<p>La journey de Sarah met en lumi\u00e8re plusieurs questions utiles \u00e0 se poser avant d&rsquo;envisager un remodelage costal en Tunisie : quelle technique correspond \u00e0 sa morphologie ?<\/p>\n<p>Quelle formation le chirurgien a-t-il suivie ? Comment se d\u00e9roule la pr\u00e9paration ? Quelle \u00e9quipe assure l&rsquo;accompagnement et le suivi ? Comment seront organis\u00e9s les soins apr\u00e8s le retour au Canada ?<\/p>\n<p>Son exp\u00e9rience rappelle \u00e9galement que le choix d&rsquo;une intervention ne se limite pas \u00e0 la recherche d&rsquo;une taille fine. Il s&rsquo;agit d&rsquo;un projet personnel qui doit \u00eatre discut\u00e9 avec un chirurgien qualifi\u00e9, en tenant compte des attentes, des risques, des contraintes du s\u00e9jour et des possibilit\u00e9s r\u00e9elles de r\u00e9sultat.<\/p>\n<p>Pour les Canadiens francophones int\u00e9ress\u00e9s par la Barbie Waist, le t\u00e9moignage vid\u00e9o de Sarah Massie offre un aper\u00e7u de son parcours chez Medespoir.<\/p>\n<p>Il constitue un point de d\u00e9part pour mieux comprendre le v\u00e9cu d&rsquo;une patiente, tandis que les informations consacr\u00e9es au RibXcar et \u00e0 la formation du Dr Gam permettent d&rsquo;approfondir les aspects techniques avant toute d\u00e9cision.<\/p>\n<div class=\"cta-button-box\"><a href=\"https:\/\/www.youtube.com\/watch?v=y9aFG1WzPsQ\" target=\"_blank\" rel=\"noopener noreferrer\"><span class=\"cta-pill\">D\u00e9couvrez la journey compl\u00e8te de Sarah Massie sur YouTube \u2192<\/span><\/a><\/div>\n<\/div>\n<p><!-- \/.ma-blog-article --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pourquoi Sarah Massie a-t-elle choisi la Tunisie pour transformer sa silhouette ? Dans son parcours r\u00e9cent chez Medespoir, cette Canadienne francophone origine de l&rsquo;Outaouais a fait confiance au Dr Youssef Gam pour son projet de silhouette en sablier, avec une technique de remodelage costal appel\u00e9e RibXcar. De la pr\u00e9paration \u00e0 l&rsquo;intervention, en passant par son&hellip; <span class=\"kuorinka-read-more\"><a href=\"https:\/\/www.medespoir.com\/blog\/2026\/10\/13\/ribxcar-sarah-massie-raconte-sa-journey-de-remodelage-de-silhouette-en-tunisie\/\" class=\"more-link\">Lire la suite <span class=\"screen-reader-text\">RibXcar : Sarah Massie raconte sa journey de remodelage de silhouette en Tunisie<\/span><\/a><\/span><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":{"0":"post-4200","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-silhouette","7":"entry"},"_links":{"self":[{"href":"https:\/\/www.medespoir.com\/blog\/wp-json\/wp\/v2\/posts\/4200","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.medespoir.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.medespoir.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.medespoir.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.medespoir.com\/blog\/wp-json\/wp\/v2\/comments?post=4200"}],"version-history":[{"count":5,"href":"https:\/\/www.medespoir.com\/blog\/wp-json\/wp\/v2\/posts\/4200\/revisions"}],"predecessor-version":[{"id":4207,"href":"https:\/\/www.medespoir.com\/blog\/wp-json\/wp\/v2\/posts\/4200\/revisions\/4207"}],"wp:attachment":[{"href":"https:\/\/www.medespoir.com\/blog\/wp-json\/wp\/v2\/media?parent=4200"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.medespoir.com\/blog\/wp-json\/wp\/v2\/categories?post=4200"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.medespoir.com\/blog\/wp-json\/wp\/v2\/tags?post=4200"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}