A great documentary to learn more about the gruesome history of surgery is one called Blood and Guts, a History of Surgery.
Click through to go to her website and learn more about her procedures.
Another documented case of voluntary rib removal was performed on who had two pairs of ribs the floating ribs removed.
Courtesy of Wikipedia creative commons.
Doctors may approve the procedure in several situations, such as the risk of a fractured rib puncturing a vital organ.
Looks like someone who found a shit plastic surgeon to make her nose look like a point, inject shit into her face, get funny overly inflated hard looking implants.