The Waist as a 3-dimensional Structure: Clinical Evaluation of an Algorithm-guided Osteocartilaginous Treatment in a 12-month Follow-up Cohort

Clicks: 1
ID: 332273
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal

Ranked #108 of 113 articles by views in Aesthetic surgery journal

Most read Least read

Bar heights use a square-root scale.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Background Traditionally, aesthetic waist treatment has focused on soft tissue modification; however, the underlying osteocartilaginous framework may constrain outcomes. The concept of the waist as a three-dimensional structure, defined by transverse width, craniocaudal length and anterior projection, has facilitated the development of targeted osseous remodelling techniques. Objectives To describe and evaluate a comprehensive therapeutic framework based on a three-dimensional algorithm for the aesthetic treatment of the osteocartilaginous waist, with a 12-month clinical follow-up. Methods A multicentre, prospective cohort study was conducted between April 2024 and January 2025 across four countries. Three hundred and eighty-four patients with a minimum of 12-month follow-up underwent osteocartilaginous procedures (RibXcar, FrontXribs and Xcrest), either individually or in combination, according to a standardized algorithm based on thoracic width, waist length and anterior projection. The outcomes included waist circumference, rib angulation, thoracic diameter, iliac crest distances, respiratory function, postoperative pain, complications, and BODY-Q satisfaction scores. Results Baseline characteristics were comparable across all groups. All procedures achieved their expected outcomes, demonstrating sustained improvements at 12 months. Respiratory function remained stable throughout the follow-up period. Postoperative pain resolved without sequelae and there was a significant improvement in BODY-Q scores across all domains. Conclusions A three-dimensional, algorithm-based approach enables the rational and reproducible treatment of the waist, achieving consistent structural modification through targeted interventions while preserving respiratory function and ensuring high patient satisfaction. This model establishes the waist as a true three-dimensional anatomical unit in body contouring surgery.
Reference Key
openalex_W7221696014 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Raúl Manzaneda Cipriani, Héctor César Durán-Vega, Gerardo A Adrianzen, Emmanuel Flores, José David Salazar, Andres Ervind Mendoza Arteaga, Margiory Fernandez Rodriguez
Journal Aesthetic surgery journal
Year 2026
DOI
10.1093/asj/sjag225
URL
https://doi.org/10.1093/asj/sjag225
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.