Aesthetic Contouring of the Chest wall with Rib Resection

Ferreira, Lydia Masako; Ferreira, Pedro Eduardo Nader; Bernardes, Afranio; Anjos, Gabriel Felsky dos; Cosac, Ognev Meireles; Willhelm, Ricardo Oliva; Correa, Wanda Elizabeth; Felix, Gabriel de Almeida Arruda; Isoldi, Felipe Contoli

doi:10.1007/s00266-020-01988-5

Cited by 6 publications

(6 citation statements)

References 33 publications

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“…In fact, it was initially described and popularized by Verdugo 8 and Kudzaev and Kraiushkin, 9 among other authors. 18 – 20 We adopted the technique from Kudzaev due to its reproducibility and reliability compared with that from other procedures. However, most of these prior studies did not report statistical analysis or have an objective outcome evaluation.…”

Section: Discussionmentioning

confidence: 99%

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

Oñate Valdivieso,

Hoyos

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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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 (P < 0.05). Most patients were women (n = 125, 95.4%). No major complications were reported. Most common complication was prolonged pain, with only three cases of contour asymmetry, all of which were attributable to noncompliance of constantly wearing the corset + compressive garments. Patients reported a high satisfaction rate and fast recovery (Body-QoL survey). 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.

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Section: Discussionmentioning

confidence: 99%

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

Oñate Valdivieso,

Hoyos

et al. 2024

Plastic and Reconstructive Surgery - Global Open

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“…Although there were two cases of burns at the puncture site, they were less than 0.5 cm in diameter and were promptly treated without causing further complications, such as infections or larger scars that could have resulted from an incision (Figs. [4][5][6].…”

Section: Discussionmentioning

confidence: 99%

“…Rib remodeling can be performed by rib removal or rib fracture. [3][4][5] Among rib procedures, rib remodeling by fracture is an alternative with a straightforward procedure, possibly with lower risks than rib removal, and highly favorable aesthetic results when performed by a skilled surgeon. 5 Similarly, in our experience, ultrasound-guided rib remodeling by fracture increases safety.…”

Section: Introductionmentioning

confidence: 99%

Waist Remodeling without Incision, with Ultrasound-guided Monocortical Fracture

Manzaneda Cipriani,

Duran Vega,

Cala Uribe

et al. 2023

Plastic and Reconstructive Surgery - Global Open

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Background: Rib remodeling is a surgical technique for waist shaping in women and men. However, one of the main patient complaints is the scar. We aimed to describe a scarless, ultrasound-guided rib remodeling (RibXcar) technique that assessed the degree of angular variation of the fracture by ultrasound and the variation in waist measurement and patient satisfaction through a survey. Methods: The RibXcar technique was performed in 30 women aged 18–35 years in Peru, Colombia, and Mexico between October and December 2022 by three board-certified plastic surgeons trained in ultrasound and in this technique. The plastic surgeons measured costal angles before and immediately, 1 month, and 3 months after the surgery by ultrasound, as well as the waist in the same site and at these time points. Similarly, patient satisfaction was surveyed 3 months after the surgery, in which questions were asked about body aesthetics and the puncture site. Results: Ultrasound angular measurements before and immediately, 1 month, and 3 months after the surgical procedure were 168.00, 158.00, 160.00, and 160.43 degrees in the 10th rib, 170.50, 160.50, 152.50, and 163.50 degrees in the 11th rib, and 172.00, 162.00, 154.00, and 165.00 degrees in the 12th rib, respectively. The satisfaction survey showed that patients were satisfied with the aesthetic results of both the shape of the waist and the puncture site. Conclusions: RibXcar surgery maintains the angular variation over time. Similarly, waist measurements show a sustained reduction. Three months postoperatively, the patients were satisfied with the aesthetic results of the waist and the puncture site.

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“…Ferreira et al in their review article has concluded that there is not enough scientific evidence to support the practice, effectiveness, and safety of the resection of ribs for aesthetic purposes. 20 …”

Section: Skeletal Contouringmentioning

confidence: 99%

Gender Affirming Body Contouring and Physical Transformation in Transgender Individuals

Asokan

Sudheendran

2022

Indian J Plast Surg

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There is a subset of transgender individuals, who after having undergone gender affirming surgeries want body contouring so that the overall body shape is congruent to the body image. Hormonal therapy can bring about a considerable change in the physical transformation. However, there is an increase in requests for specific body contouring procedures because of increased awareness in the society.There are significant differences between the skeletal as well as soft tissue characteristics of male and female body. Body contouring in transgender individuals can be achieved by altering the skeletal structure or the overlying soft tissues or combining both. In this article, we discuss body contouring as an adjunct to gender affirming surgeries, in both male to female and female to male transgender individuals.

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Aesthetic Contouring of the Chest wall with Rib Resection

Cited by 6 publications

References 33 publications

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

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

Waist Remodeling without Incision, with Ultrasound-guided Monocortical Fracture

Gender Affirming Body Contouring and Physical Transformation in Transgender Individuals

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