Hoyos Alfredo E, Perez Pachon Mauricio E, Duarte Paulo, Aguilar Villa Hugo, Proto Ricardo, Borras-Osorio Mariana, Castiblanco Maria P, Leon-Machicado Mateo
Aesthet Surg J Open Forum. 2025 May 27;7:ojaf044. doi: 10.1093/asjof/ojaf044. eCollection 2025.
Body contouring techniques have limited impact on waist definition because of their focus on soft tissues. Rib remodeling surgeries have emerged as a safer, minimally invasive option to improve the aesthetic definition of the waistline compared with more invasive and aggressive techniques, such as rib resection.
In this study, the authors introduce waistline aesthetic slimming by puncture (WASP) and a parallel approach to enhance the hourglass silhouette and effectively decrease the waist diameter in body contouring procedures.
The authors conducted a retrospective cohort study from July 2023 to August 2024, at 3 specialized plastic surgery institutions in Colombia and Brazil. Inclusion criteria were patients undergoing WASP technique. Exclusion criteria included previous rib surgeries, BMI >30 kg/m, chronic respiratory diseases, spinal disorders, and incomplete data. Patients completed a satisfaction questionnaire (Global Aesthetic Improvement Scale) 3 to 6 months postprocedure.
The authors of this study included 125 patients who underwent WASP technique, primarily females (96.8%). Mean age was 34.7 years (standard deviation [SD] 7.1) and mean BMI was 24.1 kg/m (SD 2.4 kg/m). Most patients (63.8%) had no previous aesthetic procedures. Overall complication rate was low at 3.8%, with no serious adverse events reported. Waist measurements improved significantly from a median of 76 cm (interquartile range [IQR] 7.9 cm) preoperatively, 68 cm (IQR 8 cm) postoperatively, and 65 cm (IQR 7.4 cm) 3 months postprocedure, resulting in a waist-to-hip ratio (WHR) decrease from 0.8 to 0.7. Patient satisfaction was high, with 92.9% reporting being "very satisfied" with the outcomes.
WASP is a safe and reproducible technique, effective for decreasing waist measurements and WHR, overall contributing to the body contouring process.
身体塑形技术对腰部轮廓的影响有限，因为它们主要关注软组织。与更具侵入性和激进性的技术（如肋骨切除术）相比，肋骨重塑手术已成为一种更安全、微创的改善腰线美学轮廓的选择。
在本研究中，作者介绍了经皮腰部美学减脂术（WASP）以及一种平行方法，以在身体塑形手术中增强沙漏型身材轮廓并有效减小腰围。
作者于2023年7月至2024年8月在哥伦比亚和巴西的3家专业整形外科机构进行了一项回顾性队列研究。纳入标准为接受WASP技术的患者。排除标准包括既往肋骨手术史、BMI>30kg/m、慢性呼吸系统疾病、脊柱疾病以及数据不完整。患者在术后3至6个月完成一份满意度问卷（全球美学改善量表）。
本研究的作者纳入了125例行WASP技术的患者，主要为女性（96.8%）。平均年龄为34.7岁（标准差[SD]7.1），平均BMI为24.1kg/m（SD 2.4kg/m）。大多数患者（63.8%）既往未接受过美容手术。总体并发症发生率较低，为3.8%，未报告严重不良事件。腰围测量值从术前中位数76cm（四分位间距[IQR]7.9cm）显著改善至术后68cm（IQR 8cm）以及术后3个月的65cm（IQR 7.4cm），导致腰臀比（WHR）从0.8降至0.7。患者满意度较高，92.9%的患者报告对结果“非常满意”。
WASP是一种安全且可重复的技术，对减小腰围和腰臀比有效，总体上有助于身体塑形过程。
