Anterior rib cage remodeling with hardware to improve lower chest contour

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This prospective, single-group study evaluates anterior aesthetic rib cage remodeling with osteosynthesis (ARCO) in adults with anteroinferior rib prominence. Participants undergo preoperative imaging and breathing tests, followed by controlled remodeling and plate fixation of ribs 6–8. Outcomes include chest perimeter changes, imaging findings, spirometry, intraoperative respiratory metrics, BODY-Q Chest scores, and complication rates up to 12 months. Postoperative imaging and functional assessments track healing, rib angulation, and hardware position, with adverse events recorded throughout the follow-up period.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age 18 to 45 years, or older participants with documented acceptable bone health under the final protocol.
* Prominence, dysmorphia, or contour concern involving the anteroinferior rib cage and judged appropriate for ARCO.
* Preoperative chest CT, spirometry, medical history, and physical examination completed.
* BMI 30 kg/m2 or lower.
* Ability to comply with CT, spirometry, BODY-Q, and clinical follow-up through 12 months.
* Written informed consent

Exclusion Criteria:

* Osteoarticular disease affecting rib integrity or clinically relevant osteoporosis risk.
* Previous major chest surgery or significant thoracic trauma.
* Coagulation disorder, chronic pulmonary disease, or uncontrolled systemic disease.
* Active cancer, short life expectancy, or contraindication to elective surgery.
* Known adverse reaction to the proposed osteosynthesis material.
* Psychiatric condition or body-image disorder that, after specialist assessment when indicated, impairs informed decision-making or realistic expectations.
* Pregnancy or breastfeeding.

Where it's running

• Clinica INO
  Bogotá, Colombia Recruiting

Study contacts

• Principal investigator: Hugo Aguilar, MD, plastic surgery
• Study coordinator: Hugo Aguilar, MD, Plastic surgeon
• Email: havplasticacademy@gmail.com
• Phone: +57 301 6918526

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.