Danilla Stefan, González-Arestizábal Tomás
Aurea Clinic, Santiago, Chile.
Department of Surgery, University Hospital, University of Chile, Santiago, Chile.
Aesthetic Plast Surg. 2025 Jun;49(12):3433-3442. doi: 10.1007/s00266-025-04815-x. Epub 2025 Mar 26.
Body contouring surgery has gained increasing popularity. Waist reduction has become central to body contouring, particularly in Latin America, where hip stylization is a beauty standard. This systematic review aims to evaluate the safety and efficacy of costal cosmetic surgery for waistline improvement and to assess the quality of the evidence.
Search Methods for Study Identification: A comprehensive search was conducted on PubMed and other databases using the following keywords: "Removal rib," "Remodeling Rib," "Waist narrowing," "Waist-hip ratio," "Body contouring," "Aesthetic surgery," "Plastic surgery" and "Complications."
We included all studies regarding surgery on the ribs with the aim of improve (narrow) the waist for cosmetic purposes.
Of the 161 studies identified, 8 met inclusion criteria. Most studies were retrospective case series, with two being multicentric. A total of 444 participants were included, predominantly women. Five studies involved costal remodeling, and three performed costal resection. Anthropometric outcomes were reported in 6 studies. Complications included pain, pneumothorax and wound dehiscence. Follow-up periods ranged from 3 to 6 months.
While rib resection and remodeling appear to be safe techniques, their long-term efficacy remains uncertain. Studies with rigorous designs and longer follow-up are needed to establish robust evidence.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
身体塑形手术越来越受欢迎。减少腰围已成为身体塑形的核心，尤其是在拉丁美洲，那里臀部塑形是一种审美标准。本系统评价旨在评估肋骨美容手术改善腰围的安全性和有效性，并评估证据质量。
研究识别的检索方法：在PubMed和其他数据库上进行了全面检索，使用了以下关键词：“肋骨切除”、“肋骨重塑”、“腰围缩小”、“腰臀比”、“身体塑形”、“美容手术”、“整形手术”和“并发症”。
我们纳入了所有旨在通过美容目的改善（缩小）腰围的肋骨手术研究。
在识别出的161项研究中，8项符合纳入标准。大多数研究是回顾性病例系列，其中两项是多中心研究。共纳入444名参与者，主要为女性。5项研究涉及肋骨重塑，3项进行了肋骨切除。6项研究报告了人体测量结果。并发症包括疼痛、气胸和伤口裂开。随访期为3至6个月。
虽然肋骨切除和重塑似乎是安全的技术，但其长期疗效仍不确定。需要进行设计严谨且随访时间更长的研究来建立有力的证据。
证据级别III：本刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南www.springer.com/00266 。
