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Rib Remodeling Without Rib Resection: A Systematic Review and Meta-analysis
Andre Milani-Reis1, Maria Meritxell Roca Mora2, Pedro Bicudo Bregion1
1State University of Campinas, Campinas, Brazil.
Aesthetic Plastic Surgery
|September 26, 2025
Summary
Rib remodeling without rib removal effectively reduces waistline measurements, achieving high patient satisfaction. This cosmetic surgery technique demonstrates minimal serious complications, offering a safe option for body contouring.
Area of Science:
- Plastic Surgery
- Cosmetic Procedures
- Body Contouring
Background:
- Growing interest in body contouring drives innovation in waistline reduction techniques.
- Traditional rib resection for waistline reduction is invasive, limiting its cosmetic application.
Purpose of the Study:
- To evaluate the efficacy and safety of a novel rib remodeling technique that avoids rib removal.
- To assess patient satisfaction and waistline reduction following the procedure.
Main Methods:
- Systematic review and meta-analysis of studies on rib remodeling without resection.
- Searched PubMed, Cochrane Central, and Embase databases up to August 2024.
- Analyzed outcomes including patient satisfaction, waistline reduction, and complication rates.
Main Results:
- Included four studies with 318 patients (98.1% female, average age 32.7).
- Achieved a high patient satisfaction rate (94.89%) and significant waistline reduction (average 8.59 cm).
- Reported very low rates of serious complications: 0% for pneumothorax/hemothorax, 0.57% for skin burns, and 1.85% for asymmetry.
Conclusions:
- Rib remodeling without resection is an effective method for waistline reduction.
- The technique offers high patient satisfaction with a favorable safety profile.
- This approach presents a less invasive alternative for body contouring.
