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Waist Reduction Surgery by Rib Incurvation: A New Approach for Waist Narrowing
Raúl Martín Manzaneda Cipriani1, Gerardo A Adrianzen Nuñez1,2, Jorge Luis Medina Gutierrez3
1From the Private Practice, Lima, Peru.
Plastic and Reconstructive Surgery. Global Open
|June 1, 2026
Summary
A new incurvation technique for aesthetic waist reduction shows comparable results to existing methods but with significantly less pain and fewer complications. This innovative approach offers a safer profile for rib remodeling procedures.
Area of Science:
- Plastic Surgery
- Surgical Innovation
- Aesthetic Medicine
Background:
- Rising demand for aesthetic waist reduction necessitates safer, effective techniques.
- Current methods involve rib removal or monocorticotomy, carrying inherent risks.
- An alternative incurvation concept, adapted from pediatric bone deformation, is explored.
Purpose of the Study:
- To compare the safety and efficacy of the novel IncurvationXribs technique against the RibXcar method for aesthetic waist reduction.
- To evaluate outcomes including waist circumference reduction, postoperative pain, and complication rates.
Main Methods:
- A comparative study of 50 women undergoing floating rib (11-12) remodeling.
- Two cohorts: RibXcar (n=26) and IncurvationXribs (n=24).
- Assessment included CT scans, waist circumference, visual analog scale for pain, and 6-month complication monitoring.
Main Results:
- Both techniques yielded significant waist reduction at 6 months.
- IncurvationXribs demonstrated lower postoperative pain and zero complications.
- The RibXcar group experienced complications including chronic pain and bicortical fracture.
Conclusions:
- IncurvationXribs and RibXcar offer similar waist reduction efficacy.
- IncurvationXribs presents a potentially safer profile due to reduced pain and complications.
- The incurvation technique may be a favorable option for aesthetic waist contouring.
