Aguilar Villa Hugo, Villabona-Florez Silvia J, Hoyos Alfredo E, Perez Pachon Mauricio E, Serrano-Reyes Hector Mauricio, Diaz Sandoval Cristian J
From HAV Plastic Surgery, HAV Academy.
Clinica Fundacion Oftalmologica de Santander; Dhara Clinic.
Plast Reconstr Surg. 2025 Feb 1;155(2):279-288. doi: 10.1097/PRS.0000000000011512. Epub 2024 May 6.
Rib cage remodeling has shown promising aesthetic results as a new technique for body contouring, and yet risks and complications associated with the procedure have not been well established. The aim of the authors' study was to assess safety, efficacy, and patient satisfaction rate associated with a new surgical technique for waistline definition.
The authors looked into their records for patients who underwent waist narrowing through a new rib remodeling procedure with osteosynthesis of ribs XI and XII from October of 2022 to June of 2023. Follow-up was carried out at 1 and 3 months after surgery. Outcomes were evaluated based on waist and hip measurements, body image, pain, and a patient satisfaction survey.
A total of 27 consecutive patients were included in the analysis. The authors' technique resulted in a significant reduction in waist circumference, as evidenced by a decrease of 12.1 cm and 13.0 cm at the first and third months, respectively ( P < 0.005). A reduction of hip circumference of 6.2 cm and 8.7 cm at the first and third months, respectively, was also reported. A high patient satisfaction rate was reported. Postoperative complications included only 1 case of wound dehiscence and 1 case of mild pain. Pain levels were also reduced, with a mean pain score of 2.4 at week 1 and 0.26 at month 1.
Rib osteotomy with osteosynthesis emerges as an innovative, safe, and reliable approach for waist narrowing. The authors' results suggest that this technique can be applied to a wide variety of patients, and it might entail significant advantages compared with other techniques.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
作为一种新的身体塑形技术，胸廓重塑已显示出良好的美学效果，然而该手术相关的风险和并发症尚未完全明确。作者研究的目的是评估一种用于定义腰线的新手术技术的安全性、有效性和患者满意度。
作者查阅了2022年10月至2023年6月期间接受通过新的肋骨重塑手术（第XI和XII肋骨接骨术）进行腰部缩窄的患者记录。术后1个月和3个月进行随访。根据腰围和臀围测量、身体形象、疼痛情况以及患者满意度调查来评估结果。
总共27例连续患者纳入分析。作者的技术使腰围显著减小，术后第1个月和第3个月分别减少了12.1厘米和13.0厘米（P < 0.005）。同时，第1个月和第3个月的臀围分别减少了6.2厘米和8.7厘米。患者满意度较高。术后并发症仅包括1例伤口裂开和1例轻度疼痛。疼痛程度也有所减轻，术后第1周平均疼痛评分为2.4，术后1个月为0.26。
肋骨截骨接骨术是一种创新、安全且可靠的腰部缩窄方法。作者的结果表明，该技术可应用于多种患者，与其他技术相比可能具有显著优势。
临床问题/证据级别：治疗性，IV级
