Prospective Evaluation of Body Image, Physical, Psychological, Sexual, and Social Outcomes After Posterior Aesthetic Rib Remodeling

This prospective observational cohort will evaluate patient-reported and anthropometric outcomes after posterior aesthetic rib remodeling. Selected BODY-Q scales will measure body image, physical, psychological, sexual, and social function before surgery and through 12 months. Standardized waist and hip measurements will be collected at the same visits. The primary outcome is change in BODY-Q Body Image score at one year, and analyses will assess whether patient-reported improvement is associated with sustained waist reduction.

Inclusion Criteria: * Age 18 to 65 years. * Scheduled for posterior aesthetic rib remodeling after an independent clinical decision. * Ability to complete validated Spanish-language BODY-Q scales and follow-up visits. * Stable body weight for at least 3 months before surgery. * Written informed consent for prospective data collection. Exclusion Criteria: * Prior posterior rib remodeling or rib resection. * Planned pregnancy during the 12-month follow-up. * Major weight-loss intervention planned during follow-up. * Psychiatric or cognitive condition preventing reliable completion of patient-reported measures. * Inability to complete baseline BODY-Q or standardized waist measurement. * Participation in another intervention expected to independently alter body image outcomes during follow-up.