Evidence map›Paper›PMID 41983160›Full record

ArticlePlastic and reconstructive surgery. Global open2026

Global Survey on Rib Remodeling Techniques: Assessing Complications and Safety in Waistline Contouring.

Hugo A Aguilar, Alfredo E Hoyos, Brian Ramirez, Kudzaev Kazbek, Nikiforov Viacheslav, Silvia J Villabona, Hector M Serrano, Mauricio E Perez Pachon, Daniel Oñate Valdivieso, Carlos Oñate Valdivieso and 4 more

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2026. 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

14 authors.

Hugo A AguilarFrom the Private Practice, HAV Plastic Surgery, HAV Academy, Bucaramanga, Colombia.
Alfredo E HoyosPrivate Practice, Dhara Clinic, Bogota, Colombia.
Brian RamirezResearch Inc, Private Practice, Aerospace Medicine, Bogota, Colombia.
Kudzaev KazbekPrivate Practice, Dr. Kudzaev Clinic, Vladikavkaz, Russia.
Nikiforov ViacheslavPlastic Surgery, Dr Kudzaev School, Vladikavkaz, Russia.
Silvia J VillabonaClinica Fundacion Oftalmologica de Santander (FOSCAL), Bucaramanga, Colombia.
Hector M SerranoPrivate Practice, HAV Plastic Surgery, Dr. Serrano Plastic Surgery, Bucaramanga, Colombia.
Mauricio E Perez PachonDepartment of Sciences and Research, Department of Plastic Surgery, Total Definer, Bogota, Colombia.
Daniel Oñate ValdiviesoPrivate Practice, CIMA Clinic, Loja, Ecuador.
Carlos Oñate ValdiviesoPrivate Practice, CIMA Clinic, Loja, Ecuador.
Gaparov KazbekPrivate Practice, Dr. Kudzaev Clinic, Vladikavkaz, Russia.
Ricardo ProtoPrivate Practice, Instituto Dr Ricardo Proto, Sao Pablo, Brazil.
Juan P VerdugoPrivate Practice Culiacan, Sinaloa, Mexico.
Agustina VarelaCoResearch Inc, Bogota, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Rib remodeling, particularly targeting ribs 11 and 12, is gaining popularity in aesthetic body contouring to reduce waist circumference. Although rib manipulation techniques have been applied in other surgical fields, their use in plastic surgery has focused on achieving aesthetic goals. This study investigates the complications associated with rib remodeling techniques to enhance waistline contouring. Methods: A global cross-sectional survey was conducted among board-certified plastic surgeons who perform rib remodeling. Data from 2351 patient records (2018-2024) were collected, including demographic details, surgical information, and complications. Rib remodeling techniques assessed included surgical greenstick fracture modification and osteosynthesis. Results: The overall complication rate was 3.7% (86 of 2351 patients). Hyperpigmentation (17.4%), nonconsolidation (15.1%), burns (12.7%), and corset-related pressure ulcers (12.7%) were the most common complications. Major complications such as pneumothorax were rare (0.17%) and occurred only in RibXcar cases. Rib extraction/removal techniques had no reported complications, whereas Riboss had the lowest complication rate (1.96%) due to the use of osteosynthesis material for fracture stabilization. Conclusions: The incidence of complications related to the rib remodeling procedures in our study was 3.7%. However, some procedure-related complications-such as pneumothorax and hemothorax-can pose serious risks to the patient's life. Nevertheless, when performed by a well-trained surgeon with an adequate learning curve, these procedures can be considered safe.

Identifiers

PMID41983160
PMCPMC13075910

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.