Flores-González EA, Ramírez-Guerrero OR, Durán-Vega H, Manzaneda-Cipriani RM, Romero-Algara E

Language: Spanish
References: 11
Page: 76-80
PDF size: 507.16 Kb.

ABSTRACT

Aesthetic body contouring surgery has incorporated procedures aimed at modifying the rib cage, in carefully selected patients, to optimize waist definition. However, aesthetic rib surgery has historically been controversial due to technical heterogeneity, the lack of standardized diagnostic criteria, and concerns regarding potential respiratory, neuromuscular, and structural repercussions. In this context, controlled and protocolized costal osteotomy emerges as a conservative alternative to traditional rib resection, based on anatomical preservation, systematic use of imaging, and strict implementation of safety principles. This article reviews the evolution of aesthetic rib surgery, analyzes the anatomical and biomechanical principles supporting controlled costal osteotomy and provides a detailed expansion of preoperative, intraoperative, and postoperative safety elements, presenting the RibXcar technique as a comprehensive model of standardization.

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