Evidence map›Paper›PMID 33037473›Full record

SynthesisAesthetic plastic surgery2021

Aesthetic Contouring of the Chest wall with Rib Resection.

Lydia Masako Ferreira, Pedro Eduardo Nader Ferreira, Afrânio Benedito Silva Bernardes, Gabriel Felsky Dos Anjos, Ognev Meireles Cosac, Ricardo Oliva Willhelm, Wanda Elizabeth Massiere Correa, Gabriel de Almeida Arruda Felix, Felipe Contoli Isoldi

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Aesthetic plastic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Full-body Remodeling With Minimally Invasive Techniques.Plastic and reconstructive surgery. Global open · 2026
    Article
  3. Anterior Aesthetic Rib Cage Remodeling With Osteosynthesis.Plastic and reconstructive surgery. Global open · 2025
    Article
  4. Article
  5. ORUS: Ultrasonic Ostemodeling for Body Contouring.Plastic and reconstructive surgery. Global open · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Waist Reduction through Conversion from False to Floating Ribs.Plastic and reconstructive surgery. Global open · 2024
    Article
  11. Article
  12. Waist Remodeling without Incision, with Ultrasound-guided Monocortical Fracture.Plastic and reconstructive surgery. Global open · 2023
    Article
  13. Article
  14. Gender Affirming Body Contouring and Physical Transformation in Transgender Individuals.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Lydia Masako FerreiraPlastic Surgery Division, Unifesp, Rua Botucatu, 740 - 2nd Floor, P.O. Box: 04039-002, São Paulo, SP, Brazil. lydiamferreira@gmail.com.ORCID http://orcid.org/0000-0003-4587-509X
Pedro Eduardo Nader FerreiraPlastic Surgery Technical Chamber, Brazilian Federal Council of Medicine (CFM), Brasilia, Brazil.
Afrânio Benedito Silva BernardesPlastic Surgery Technical Chamber, Brazilian Federal Council of Medicine (CFM), Brasilia, Brazil.
Gabriel Felsky Dos AnjosPlastic Surgery Technical Chamber, Brazilian Federal Council of Medicine (CFM), Brasilia, Brazil.
Ognev Meireles CosacPlastic Surgery Technical Chamber, Brazilian Federal Council of Medicine (CFM), Brasilia, Brazil.
Ricardo Oliva WillhelmPlastic Surgery Technical Chamber, Brazilian Federal Council of Medicine (CFM), Brasilia, Brazil.
Wanda Elizabeth Massiere CorreaPlastic Surgery Technical Chamber, Brazilian Federal Council of Medicine (CFM), Brasilia, Brazil.
Gabriel de Almeida Arruda FelixPlastic Surgery Division, Unifesp, Rua Botucatu, 740 - 2nd Floor, P.O. Box: 04039-002, São Paulo, SP, Brazil.
Felipe Contoli IsoldiPlastic Surgery Division, Unifesp, Rua Botucatu, 740 - 2nd Floor, P.O. Box: 04039-002, São Paulo, SP, Brazil.
Universidade Estadual Paulista (Unesp) · BRFederal Council · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn past decades, several invasive and noninvasive aesthetic procedures have been sought as a way to improve body contouring, and one may resort to uncertified and potentially dangerous procedures to achieve that goal. An example of this practice would be the resection of ribs to reduce the waist for aesthetic reasons. The objective was to check scientific evidence on the effectiveness and safety of removal of floating ribs for aesthetic purposes.

methodsA systematic review of the literature was carried out in EMBASE/Elsevier, Cochrane, Scopus, Medline, PubMed, BVS, SciELO, OneFile, and Lilacs, throughout the period until June 2020, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.

resultsFifty-six articles were found in all databases. After applying the inclusion criteria, by reading the title and abstract of the studies found, only two articles were definitively included. One addressed the possibility of removing the 7th and 8th ribs for improving body contouring in patients with an exaggerated anterior projection of the chest wall, without showing cases or surgical techniques. The other demonstrated procedures of body contouring in transgender by the removal of the 11th and 12th ribs in five of the 22 patients studied, just providing a brief description of the surgical technique used, without details.

conclusionsDespite the relevance of the theme and its popularity, there is not enough scientific evidence to support the practice, effectiveness and safety of the resection of ribs for aesthetic purposes. LEVEL OF EVIDENCE III: 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 .

Indexed as

Body ContouringThoracic WallEstheticsHumansRibsTreatment OutcomeOperativePlastic surgeryRib cageRibsSurgical proceduresTreatment outcomeWaist–height ratio

Identifiers

PMID33037473
OpenAlexW3091803693

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.