Rodrigo Alves, known as the "Human Ken Doll," was spotted out on the town with a surgical drain after having four ribs removed to achieve a more "elegant and classic figure."
Alves appeared in public just days after it was revealed that he was the first man to have ribs removed so he could have a smaller waist, according to The Sun.
Alves became known for his obsession with plastic surgery, on which he has reportedly spent nearly $700,000.
The Brazilian surgery addict filmed his 60th procedure for his fans. The surgery was reportedly livestreamed on his surgeon's Instagram account.
Alves was spotted in Beverly Hills, California, days later in a checkered suit, with a surgical drain in his pocket. The drain is used to draw out fluid that builds up inside the body following a procedure to prevent the risk of infection.
The procedure was filmed for Alves' new reality TV show, "Rodrigo's World," according to the Daily Mail.
"My life shall be changed forever as from January 2018 and by summer 2018 I will be looking like a fitness model," he said of the procedure.
Alves initially asked doctors to remove six ribs -- three on each side -- to bring his waistline from 34 inches down to 26, but doctors warned that this could affect the function of his lungs, so the reality star settled on four ribs.
In November 2017, Alves discussed his desire to have his ribs removed.
"If I have my ribs removed I'm gonna have a classic figure," he told The Sun. "It's going to make my waist tiny so I can wear elegant, nice blazers. I have had friends that have done it before -- it's not a simple procedure but it can be done."
The 34-year-old said his ribs will be saved in case they are needed in the future for extra cartilage in another procedure or reconstruction.
"On Sunday the ribs are coming OUT," he said before he flew from London for the surgery. "Once they've been removed they'll be sent off to a cartilage bank."
Alves also expressed desire to have a sex change operation when he reaches his late 50s.
"I am very happy to be a man for now but I don't want to be an old saggy man," he said.
The reality star said that the idea was inspired by transgender reality star Caitlyn Jenner.
"I will do what Caitlyn Jenner did," he said. "When I reach my late 50s, I would rather be a sexy old lady than a saggy old man."
Alves also revealed that his penis is the only natural part of his body. His previous procedures include nose jobs, silicone chest implants and "eight pack" abs.