Evidence map›Paper›PMID 40140086›Full record

SynthesisAesthetic plastic surgery2025

Costal Surgery for Waist Improvement Safety and Efficacy: A Systematic Review of the Literature.

Stefan Danilla, Tomás González-Arestizábal

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. 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

2 authors.

Stefan DanillaAurea Clinic, Santiago, Chile.
Tomás González-ArestizábalDepartment of Surgery, University Hospital, University of Chile, Santiago, Chile. Gonzalezarestizabal@gmail.com.ORCID 0000-0001-9112-8760

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBody 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.

methodsSearch 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." SELECTION OF STUDIES: We included all studies regarding surgery on the ribs with the aim of improve (narrow) the waist for cosmetic purposes.

resultsOf 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.

conclusionWhile 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. 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 ContouringRibsAdultEstheticsFemaleHumansMaleMiddle AgedRisk AssessmentTreatment OutcomeWaist-Hip RatioComplicationsRemodeling ribRemoval ribWaist narrowing

Identifiers

PMID40140086

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.