Evidence map›Paper›PMID 38204869›Full record

ArticlePlastic and reconstructive surgery. Global open2024

Ultrasonic- and Ultrasound-assisted Improvement of Silhouette of the Torso: Bone Structure High-definition Remodeling (Part I).

Carlos Oñate Valdivieso, Daniel Oñate Valdivieso, Alfredo E Hoyos, Mauricio E Perez Pachon, Hugo Aguilar Villa, Paulo Jr Alberton Michels, Andres Viera, Jorge E Benavides, Silvia J Villabona, Brian Ramirez

Registry-linked trialAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07705295 (Prospective Controlled Clinical Trial to Evaluate the Safety and Effectiveness of Rib Osteotomy With Osteosynthesis Stabilization for Waist Narrowing), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT07705295 active not recruitingnot on this mapstarted 2026, after this paper: background citation

Prospective Controlled Clinical Trial to Evaluate the Safety and Effectiveness of Rib Osteotomy With Osteosynthesis Stabilization for Waist Narrowing

Typeobservational_patient_registrySponsorResearch IncRan2026 to 2027Enrolled160ConditionsBody Contouring Surgery
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Waist Reduction Surgery by Rib Incurvation: A New Approach for Waist Narrowing.Plastic and reconstructive surgery. Global open · 2026
    Article
  5. Article
  6. Article
  7. Safety in Rib Surgery: A Meta-analysis and Systematic Review.Plastic and reconstructive surgery. Global open · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Anterior Aesthetic Rib Cage Remodeling With Osteosynthesis.Plastic and reconstructive surgery. Global open · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
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

10 authors.

Carlos Oñate ValdiviesoFrom the CIMA Clinic, Loja, Ecuador.
Daniel Oñate ValdiviesoFrom the CIMA Clinic, Loja, Ecuador.
Alfredo E HoyosTotal Definer, Bogota, Colombia.
Mauricio E Perez PachonDepartments of Sciences and Research and Plastic Surgery, Total Definer, Bogota, Colombia.
Hugo Aguilar VillaHAV Academy, Bucaramanga, Colombia.
Paulo Jr Alberton MichelsPrivate Practice, Brazil and UAE.
Andres VieraDepartment of Plastic Surgery at Total Definer, Private Practice, Moscow, Russia.
Jorge E BenavidesTotal Definer Medical, Bogota, Colombia.
Silvia J VillabonaDepartment of Plastic Surgery at HAV, Clinica Fundacion Oftalmologica de Santander (FOSCAL), Bucaramanga, Colombia.
Brian RamirezDepartment of Epidemiology, Total Definer Medical, Bogota, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: High-definition liposculpture allowed plastic surgeons to achieve better aesthetic results by carving the underlying muscles and contours in a new way. Several authors have improved the original technique by adding other procedures and new technologies. We designed a new improvement by incorporating bone transformation surgery to overcome the lack of silhouette at the waist and, as a result, optimize the breast-waist-hip ratios. Methods: We carried out a prospective multicenter study, with five different surgeons performing the same rib remodeling technique for waist definition. We used an ultrasonic piece for costal corticotomy and real-time ultrasound imaging to perform green-stick fractures over the last two or three floating ribs. Ours is a new technique based on the prior one described by Kudzaev. Results: We reported 131 consecutive patients who were enrolled in this study. Waistline diameter decreased an average of 8 cm after surgery ( Conclusions: Ultrasonic- and ultrasound- assisted indentation surgery of the thorax is a safe and reliable technique for waistline definition, with a high satisfaction rate, almost-invisible scars, and minimal risk for complications. Incorporation of high-definition liposculpture to rib remodeling opens up a new horizon for bone structure modification surgery (S-high-definition remodeling) that can be safely performed for patients who seek better aesthetic outcomes in body contouring.

Identifiers

PMID38204869
PMCPMC10781136

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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.