Body Contouring Surgery(RIBOSS)NCT07705295
RIBOSS-01: Prospective Controlled Clinical Trial to Evaluate the Safety and Effectiveness of Rib Osteotomy With Osteosynthesis Stabilization for Waist Narrowing
An observational study of Body Contouring Surgery, run by Research Inc at 1 site in Colombia.
Trial summary
The goal of this observational study is to learn about the long-term effects of RIBOSS intervention and demonstrate non-inferiority of postoperative respiratory function (FEV1, FVC, FEV1/FVC) at 6 months in the RIBOSS group compared with controls, using a non-inferiority margin of ≤0.10 L for FEV1 and FVC, and ≤0.05… Read more about this study
- Who is it for?
- Ages 18 to 45 years
- Conditions the study is for
- Body Contouring Surgery
- How many people
- 160 participants
- Where
- 1 siteColombia
- Study dates
- 20 Feb 2026to 20 Feb 2027
- How long will I take part?
- 6 Months
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 45 years
- All sexes
- No healthy volunteers
- Adult
Study population: The study population will consist of adult male and female patients aged 18 to 45 years seeking elective waist narrowing through high-definition liposculpture at participating center in Bogotá, Colombia. Eligible participants must have a body mass index (BMI) ≤30 kg/m² and demonstrate prominent projection of floating ribs (ribs XI-XII) ≥7 cm on preoperative computed tomography (CT), making them anatomically suitable candidates for structural waist modification. All participants must present with normal baseline spirometry values (FEV1, FVC, and FEV1/FVC within predicted limits) to ensure adequate pulmonary reserve prior to intervention. Participants must be medically fit for elective surgery under general anesthesia and capable of providing written informed consent and completing patient-reported outcome measures, including the Body-QoL questionnaire. Exclusion criteria include prior thoracic surgery or trauma, rib agenesis, osteoporosis or metabolic bone disease, c
Who may be able to join
- Candidates for elective waist narrowing through high-definition liposculpture.
- Rib XI-XII projection ≥7 cm (CT-based).
- Baseline spirometry within predicted limits.
- Ability to provide informed consent and complete Body-QoL questionnaire.
Who cannot join
- Prior thoracic surgery, trauma, or rib agenesis.
- Osteoporosis or bone metabolic disease.
- Chronic pulmonary or systemic disease.
- Coagulopathy or psychiatric disorder limiting adherence.
- Pregnancy or lactation.
- Allergy to titanium implants.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Prospective Controlled Clinical Trial to Evaluate the Safety and Effectiveness of Rib Osteotomy With Osteosynthesis Stabilization for Waist Narrowing
The goal of this observational study is to learn about the long-term effects of RIBOSS intervention and demonstrate non-inferiority of postoperative respiratory function (FEV1, FVC, FEV1/FVC) at 6 months in the RIBOSS group compared with controls, using a non-inferiority margin of ≤0.10 L for FEV1 and FVC, and ≤0.05 for the ratio.
Read the detailed description
Secondary Objectives:
- To quantify hip circumference, change and waist-hip ratio improvement.
- To compare intraoperative and postoperative pain levels (VAS) up to 1 month.
- To assess radiological consolidation and plate angulation at 3 and 6 months.
- To record early and late complications (Clavien-Dindo classification) up to 12 months.
- To measure time to return to physical activity and overall satisfaction.
- Conditions
- Body Contouring Surgery
- Keywords
- rib remodelation surgery, hip
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| RIBOSS Arm (Intervention) | Rib Osteotomy with Osteosynthesis Stabilization (RIBOSS) plus liposculpture Procedure: 2-3 cm incision 7 cm lateral to the midline over ribs XI-XII. Periosteal elevation and monocortical osteotomy using piezotome (Cube, Finapolline, France). Controlled greenstick fracture, preserving pleura and neurovascular bundle. Internal fixation with pre-bent 1.5-mm titanium plates (MatrixRIB, Synthes) using 5-hole segments and 6-8 mm screws (two medial, two distal). Mean angulation: 45° (ribs X-XI), 55° (rib XII). Layered closure with absorbable sutures. No corset required postoperatively. | |
| Control Arm | Standard liposculpture (VASER and/or MicroAire-assisted) without rib osteosynthesis. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Satisfaction of body results
Body-QoL total score (0-100) from baseline to 6 months.
Measured: 1 day before surgery, 1 day after surgery, 7 days after surgery, 30 days after surgery, 3 months after surgery and 6 months after surgery
Change in waist circumference (cm)
Change in waist circumference (cm), reduction of the waist circumference
Measured: 1 day before surgery, 1 day after surgery, 7 days after surgery, 30 days after surgery, 3 months after surgery and 6 months after surgery
Secondary outcomes (1)
Safety Endpoint
spirometry values (FEV1, FVC, FEV1/FVC) from before surgery to 6 months after surgery
Measured: 1 week before surgery and 6 months after surgery
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Jul 2026
- Study start20 Feb 2026
- Primary completion20 Aug 2026 (estimated)
- Study completion20 Feb 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Body Contouring SurgeryStudies of the same condition, open and under way.
- More trials run by Research IncThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Prospective
- Enrolment
- 160 participants (estimated)
- Target duration
- 6 Months
Sponsor and investigators
- Lead sponsor
- Research Inc
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Principal investigator, Brian Ramirez, MD, MSc, Research Inc
- Investigators
- Hugo Aguilar, MD, plastic surgery, Principal investigator, HAV AcademyBrian Ramirez, MD, Aerospace medicine, MSc, P, Study director, Research Inc
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07705295
- Sponsor's protocol ID
- 002
- Acronym
- (RIBOSS)
- Status last verified
- Jul 2026
- First submitted
- 21 Feb 2026
- Last updated
- 15 Jul 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: It only be able if it is required by someone
Publications
Ferreira LM, Bonin GS, Bernardes ABS, Dos Anjos GF, Tariki JY, Boechat C, Cunha MS, Cosac OM, Ferreira PEN, Aloe RC, Ikuta Y, Correa WEM, Felix GAA, Isoldi FC. Is There Scientific Evidence on the Practice of Rib Resection or Remodeling for Body Contouring Purposes?-A Systematic Review. Aesthetic Plast Surg. 2025 Apr;49(7):2007-2014. doi: 10.1007/s00266-025-04685-3. Epub 2025 Jan 21.
PubMed 39838130Onate Valdivieso C, Onate Valdivieso D, Hoyos AE, Perez Pachon ME, Aguilar Villa H, Michels PJA, Viera A, Benavides JE, Villabona SJ, Ramirez B. Ultrasonic- and Ultrasound-assisted Improvement of Silhouette of the Torso: Bone Structure High-definition Remodeling (Part I). Plast Reconstr Surg Glob Open. 2024 Jan 10;12(1):e5513. doi: 10.1097/GOX.0000000000005513. eCollection 2024 Jan.
PubMed 38204869Chiu YH, Chiu YJ, Lee CC, Wang TH, Lee JL. Ant Waist Surgery: Aesthetic Removal of Floating Ribs to Decrease the Waist-hip Ratio. Plast Reconstr Surg Glob Open. 2023 Mar 6;11(3):e4852. doi: 10.1097/GOX.0000000000004852. eCollection 2023 Mar.
PubMed 36891563Aguilar Villa H, Villabona-Florez SJ, Hoyos AE, Perez Pachon ME, Serrano-Reyes HM, Diaz Sandoval CJ. Aesthetic Rib Cage Remodeling with Osteosynthesis: Body Structural High-Definition Reshaping (Rib Osteotomy with Osteosynthesis Stabilization). Plast Reconstr Surg. 2025 Feb 1;155(2):279-288. doi: 10.1097/PRS.0000000000011512. Epub 2024 May 6.
PubMed 38710099Hoyos AE, Perez Pachon ME, Duarte P, Aguilar Villa H, Proto R, Borras-Osorio M, Castiblanco MP, Leon-Machicado M. Waistline Aesthetic Slimming by Puncture and Parallel Approach for Rib Remodeling Procedures. Aesthet Surg J Open Forum. 2025 May 27;7:ojaf044. doi: 10.1093/asjof/ojaf044. eCollection 2025.
PubMed 40874070Kudzaev KU, Kraiushkin IA. Waist Narrowing without Removal of Ribs. Plast Reconstr Surg Glob Open. 2021 Jul 12;9(7):e3680. doi: 10.1097/GOX.0000000000003680. eCollection 2021 Jul.
PubMed 34262840
Study at a glance
From the registry record, last updated by the sponsor on 15 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Prospective Controlled Clinical Trial to Evaluate the Safety and Effectiveness of Rib Osteotomy With Osteosynthesis Stabilization for Waist Narrowing
- ClinicalTrials.gov ID
- NCT07705295
- Acronym / sponsor ID
- (RIBOSS) / 002
- Conditions
- Body Contouring Surgery
- Keywords
- rib remodelation surgery, hip
- Study type
- Observational
- Recruitment status
- Active, not recruiting
- Enrolment
- 160 participants (estimated)
- Lead sponsor
- Research IncIndustry (pharma, biotech, devices)
- Study start
- 20 Feb 2026 (actual)
- Primary completion
- 20 Aug 2026 (estimated)
- Study completion
- 20 Feb 2027 (estimated)
- First posted
- 15 Jul 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The goal of this observational study is to learn about the long-term effects of RIBOSS intervention and demonstrate non-inferiority of postoperative respiratory function (FEV1, FVC, FEV1/FVC) at 6 months in the RIBOSS group compared with controls, using a non-inferiority margin of ≤0.10 L for FEV1 and FVC, and ≤0.05 for the ratio.
Detailed description
Secondary Objectives:
- To quantify hip circumference, change and waist-hip ratio improvement.
- To compare intraoperative and postoperative pain levels (VAS) up to 1 month.
- To assess radiological consolidation and plate angulation at 3 and 6 months.
- To record early and late complications (Clavien-Dindo classification) up to 12 months.
- To measure time to return to physical activity and overall satisfaction.
Study design
- Observational model
- Other
- Time perspective
- Prospective
- Target follow-up
- 6 Months
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| RIBOSS Arm (Intervention) | – | –Rib Osteotomy with Osteosynthesis Stabilization (RIBOSS) plus liposculpture Procedure: 2-3 cm incision 7 cm lateral to the midline over ribs XI-XII. Periosteal elevation and monocortical osteotomy using piezotome (Cube, Finapolline, France). Controlled greenstick fracture, preserving pleura and neurovascular bundle. Internal fixation with pre-bent 1.5-mm titanium plates (MatrixRIB, Synthes) using 5-hole segments and 6-8 mm screws (two medial, two distal). Mean angulation: 45° (ribs X-XI), 55° (rib XII). Layered closure with absorbable sutures. No corset required postoperatively. |
| Control Arm | – | –Standard liposculpture (VASER and/or MicroAire-assisted) without rib osteosynthesis. |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
- Study population
- The study population will consist of adult male and female patients aged 18 to 45 years seeking elective waist narrowing through high-definition liposculpture at participating center in Bogotá, Colombia. Eligible participants must have a body mass index (BMI) ≤30 kg/m² and demonstrate prominent projection of floating ribs (ribs XI-XII) ≥7 cm on preoperative computed tomography (CT), making them anatomically suitable candidates for structural waist modification. All participants must present with normal baseline spirometry values (FEV1, FVC, and FEV1/FVC within predicted limits) to ensure adequate pulmonary reserve prior to intervention. Participants must be medically fit for elective surgery under general anesthesia and capable of providing written informed consent and completing patient-reported outcome measures, including the Body-QoL questionnaire. Exclusion criteria include prior thoracic surgery or trauma, rib agenesis, osteoporosis or metabolic bone disease, c
Key inclusion criteria (4 listed)
- Candidates for elective waist narrowing through high-definition liposculpture.
- Rib XI-XII projection ≥7 cm (CT-based).
- Baseline spirometry within predicted limits.
- Ability to provide informed consent and complete Body-QoL questionnaire.
Key exclusion criteria (6 listed)
- Prior thoracic surgery, trauma, or rib agenesis.
- Osteoporosis or bone metabolic disease.
- Chronic pulmonary or systemic disease.
- Coagulopathy or psychiatric disorder limiting adherence.
- Pregnancy or lactation.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Satisfaction of body results
Time frame: 1 day before surgery, 1 day after surgery, 7 days after surgery, 30 days after surgery, 3 months after surgery and 6 months after surgery
Body-QoL total score (0-100) from baseline to 6 months.
Change in waist circumference (cm)
Time frame: 1 day before surgery, 1 day after surgery, 7 days after surgery, 30 days after surgery, 3 months after surgery and 6 months after surgery
Change in waist circumference (cm), reduction of the waist circumference
1 secondary outcome
Safety Endpoint
Time frame: 1 week before surgery and 6 months after surgery
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Jul 2026.
- Background: PubMed 39838130Ferreira LM, Bonin GS, Bernardes ABS, Dos Anjos GF, Tariki JY, Boechat C, Cunha MS, Cosac OM, Ferreira PEN, Aloe RC, Ikuta Y, Correa WEM, Felix GAA, Isoldi FC. Is There Scientific Evidence on the Practice of Rib Resection or Remodeling for Body Contouring Purposes?-A Systematic Review. Aesthetic Plast Surg. 2025 Apr;49(7):2007-2014. doi: 10.1007/s00266-025-04685-3. Epub 2025 Jan 21.
- Background: PubMed 38204869Onate Valdivieso C, Onate Valdivieso D, Hoyos AE, Perez Pachon ME, Aguilar Villa H, Michels PJA, Viera A, Benavides JE, Villabona SJ, Ramirez B. Ultrasonic- and Ultrasound-assisted Improvement of Silhouette of the Torso: Bone Structure High-definition Remodeling (Part I). Plast Reconstr Surg Glob Open. 2024 Jan 10;12(1):e5513. doi: 10.1097/GOX.0000000000005513. eCollection 2024 Jan.
- Background: PubMed 36891563Chiu YH, Chiu YJ, Lee CC, Wang TH, Lee JL. Ant Waist Surgery: Aesthetic Removal of Floating Ribs to Decrease the Waist-hip Ratio. Plast Reconstr Surg Glob Open. 2023 Mar 6;11(3):e4852. doi: 10.1097/GOX.0000000000004852. eCollection 2023 Mar.
- Background: PubMed 38710099Aguilar Villa H, Villabona-Florez SJ, Hoyos AE, Perez Pachon ME, Serrano-Reyes HM, Diaz Sandoval CJ. Aesthetic Rib Cage Remodeling with Osteosynthesis: Body Structural High-Definition Reshaping (Rib Osteotomy with Osteosynthesis Stabilization). Plast Reconstr Surg. 2025 Feb 1;155(2):279-288. doi: 10.1097/PRS.0000000000011512. Epub 2024 May 6.
- Background: PubMed 40874070Hoyos AE, Perez Pachon ME, Duarte P, Aguilar Villa H, Proto R, Borras-Osorio M, Castiblanco MP, Leon-Machicado M. Waistline Aesthetic Slimming by Puncture and Parallel Approach for Rib Remodeling Procedures. Aesthet Surg J Open Forum. 2025 May 27;7:ojaf044. doi: 10.1093/asjof/ojaf044. eCollection 2025.
- Background: PubMed 34262840Kudzaev KU, Kraiushkin IA. Waist Narrowing without Removal of Ribs. Plast Reconstr Surg Glob Open. 2021 Jul 12;9(7):e3680. doi: 10.1097/GOX.0000000000003680. eCollection 2021 Jul.
- Individual participant dataSharing planned: Undecided. It only be able if it is required by someone
Related trials for Body Contouring Surgery
Active, not recruitingObservational study
A Study to Evaluate the Benefits of Harmonic Vibration Liposuction
Liposuction, Body Contouring Surgery
Recruiting
Clinical Evaluation of Linear Z for Body Contouring
Non Invasive Body Contouring
Recruiting
Efficacy and Safety of BtH Body 2.2% (Injectable Hyaluronic Acid) in Volumizing and Contouring Large Areas of the Body: Prospective Clinical Investigation.
Aesthetic Body Volume Loss
Not yet recruiting
Surgical Care And Recovery With Laser Evaluation Trial (SCARLET)
Post-surgical Scars, Hypertrophic Scars
Recruiting
Effects of QUANTUM Probe for Skin Rejuvenation and Subdermal Retraction in Patients Undergoing High-Definition Liposculpture
Skin Laxity, Skin Tightening
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Hugo Aguilar, MD, plastic surgery principal investigator
HAV Academy
Brian Ramirez, MD, Aerospace medicine, MSc, P study director
Research Inc
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Body Contouring Surgery, run by Research Inc at 1 site in Colombia.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 15 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Colombia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Satisfaction of body results (time frame: 1 day before surgery, 1 day after surgery, 7 days after surgery, 30 days after surgery, 3 months after surgery and 6 months after surgery). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07705295, which also lists 6 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jul 2026.