ArticlePlastic and reconstructive surgery. Global open2023
Waist Remodeling without Incision, with Ultrasound-guided Monocortical Fracture.
Article in Plastic and reconstructive surgery. Global open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Rib Remodeling Without Rib Resection: A Systematic Review and Meta-analysis.Aesthetic plastic surgery · 2026Pooled it
- Is There Scientific Evidence on the Practice of Rib Resection or Remodeling for Body Contouring Purposes?-A Systematic Review.Aesthetic plastic surgery · 2025Pooled it
- Pilot Study: Abdominoplasty Combining Median Rectus Plication and External Oblique Muscle Advancement: The Internal Corset Technique.Plastic and reconstructive surgery. Global open · 2026Article
- The Surgical Waist: Defining the Zones of the Waist via Selective Liposuction or Fat Grafting to Improve the Female Silhouette.Plastic and reconstructive surgery. Global open · 2026Article
- A Multicenter Cohort Study of 3805 RibXcar Cases: Safety and Efficacy in Incisionless Rib Remodeling.Plastic and reconstructive surgery. Global open · 2026Article
- RibXcar with Dots Point Technique: The Science of Fracture as a Safety Principle.Plastic and reconstructive surgery. Global open · 2026Article
- Reply: Safety Evaluation of the RibXcar Technique Using the Piezotome: An Analysis of Surgical Complications.Plastic and reconstructive surgery. Global open · 2026Article
- Scarless Rib Reshaping: Comparison of Straight and Oblique Approaches in Terms of Efficacy and Recurrence.Plastic and reconstructive surgery. Global open · 2026Article
- Rib remodeling as a thoracic feminization strategy in transfeminine patients: Case report.JPRAS open · 2026Article
- Waist Reduction Surgery by Rib Incurvation: A New Approach for Waist Narrowing.Plastic and reconstructive surgery. Global open · 2026Article
- Global Survey on Rib Remodeling Techniques: Assessing Complications and Safety in Waistline Contouring.Plastic and reconstructive surgery. Global open · 2026Article
- Safety in Rib Surgery: A Meta-analysis and Systematic Review.Plastic and reconstructive surgery. Global open · 2026Article
- Respiratory Function Assessment After Waist Reduction Through Scarless Ultrasound-Guided Monocortical Fracture (RibXcar) Surgery for Body Contouring.Aesthetic surgery journal. Open forum · 2026Article
- Reply to Response by Manzaneda to "Waistline Aesthetic Slimming by Puncture and Parallel Approach for Rib Remodeling Procedures".Aesthetic surgery journal. Open forum · 2026Article
- Full-body Remodeling With Minimally Invasive Techniques.Plastic and reconstructive surgery. Global open · 2026Article
- Anterior Aesthetic Rib Cage Remodeling With Osteosynthesis.Plastic and reconstructive surgery. Global open · 2025Article
- Safety Evaluation of the RibXcar Technique Using the Piezotome: An Analysis of Surgical Complications.Plastic and reconstructive surgery. Global open · 2025Article
- Waist Remodeling Without Incision, With Ultrasound-guided Monocortical Fracture: Report of 220 Patients.Plastic and reconstructive surgery. Global open · 2025Article
- ORUS: Ultrasonic Ostemodeling for Body Contouring.Plastic and reconstructive surgery. Global open · 2025Article
- Response by Manzaneda to "Waistline Aesthetic Slimming by Puncture and Parallel Approach for Rib Remodeling Procedures" by Hoyos et al.Aesthetic surgery journal. Open forum · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Rib remodeling is a surgical technique for waist shaping in women and men. However, one of the main patient complaints is the scar. We aimed to describe a scarless, ultrasound-guided rib remodeling (RibXcar) technique that assessed the degree of angular variation of the fracture by ultrasound and the variation in waist measurement and patient satisfaction through a survey. Methods: The RibXcar technique was performed in 30 women aged 18-35 years in Peru, Colombia, and Mexico between October and December 2022 by three board-certified plastic surgeons trained in ultrasound and in this technique. The plastic surgeons measured costal angles before and immediately, 1 month, and 3 months after the surgery by ultrasound, as well as the waist in the same site and at these time points. Similarly, patient satisfaction was surveyed 3 months after the surgery, in which questions were asked about body aesthetics and the puncture site. Results: Ultrasound angular measurements before and immediately, 1 month, and 3 months after the surgical procedure were 168.00, 158.00, 160.00, and 160.43 degrees in the 10th rib, 170.50, 160.50, 152.50, and 163.50 degrees in the 11th rib, and 172.00, 162.00, 154.00, and 165.00 degrees in the 12th rib, respectively. The satisfaction survey showed that patients were satisfied with the aesthetic results of both the shape of the waist and the puncture site. Conclusions: RibXcar surgery maintains the angular variation over time. Similarly, waist measurements show a sustained reduction. Three months postoperatively, the patients were satisfied with the aesthetic results of the waist and the puncture site.
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Registered trials
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.