Is There Scientific Evidence on the Practice of Rib Resection or Remodeling for Body Contouring Purposes?-A Systematic Review.

Summary

This PRISMA-compliant review of 12 studies finds heterogeneous techniques and outcomes, with rib resection carrying notable risks (e.g., pneumothorax, chronic pain) and rib remodeling showing fewer complications. However, the absence of randomized trials and long-term follow-up limits definitive conclusions, underscoring the need for high-quality studies to guide practice.

Key Findings

• Across 12 studies, techniques and outcomes were heterogeneous with variable patient selection and endpoints.
• Rib resection was associated with complications including pneumothorax and chronic pain; rib remodeling (e.g., green-stick fractures, shaving) showed fewer reported complications.
• Long-term safety and efficacy data and randomized clinical trials are lacking, precluding definitive recommendations.

Clinical Implications

Clinicians should counsel patients on the nontrivial risks and evidence gaps for rib resection; rib remodeling may be considered when indicated, with careful selection and standardized outcome tracking.

Limitations

• Underlying evidence consists mostly of observational studies with heterogeneity.
• No pooled meta-analysis due to variability; long-term follow-up sparse.

Future Directions

Prospective registries and randomized trials comparing rib resection vs. remodeling with standardized outcomes (waist metrics, pulmonary function, pain, satisfaction) and long-term safety surveillance.