ORUS: Ultrasonic Ostemodeling for Body Contouring

Abstract

Background: An attractive waist-hip ratio leads to a favorable aesthetic appearance in women and can be achieved through the osteo remodelación ultrasónica simplificada (ORUS) technique, which consists of the controlled fracture of the floating ribs through a small incision in the back based on an umbrella's functioning (open-semiclosed).

Methods: The ORUS technique was performed on 120 patients between 18 and 50 years of age. Patients were grouped according to the surgical procedure performed: ORUS (11 patients), ORUS + liposuction (n = 87), and ORUS + abdominoplasty (n = 22). Demographic and clinical preoperative and postoperative data were recorded in all patients included. Measurements of waist-hip index and body mass index were done in centimeters, and at 90 days, a computed tomography with 3-dimensional reconstruction was indicated.

Results: The surgery time depended on the procedure and varied from 30 minutes in the ORUS procedure to 180 minutes when it was combined with an abdominoplasty. A waist reduction was achieved with median preoperative measurements ranging from 89.0-110.0 to 65.0-69.0 cm depending on the procedure. The size of the incision did not exceed 1.2 cm, and only 2 patients had symptomatic atelectasis. The median total Body-QoL score ranged between 97 and 99 points from a maximum of 100 points.

Conclusions: The proposed ORUS technique achieved a waist and waist-hip index reduction with minor complications, a minimum scar, and a high satisfaction level.

Fig. 1.

Photograph of the proposed technique based on beach umbrella functioning. A, Fully open beach umbrella. B, Partially closed beach umbrella.

Fig. 2.

Image of the recommended compression garment, front closure, with rib reinforcement and complementary bands.

Fig. 3.

Image of a scar, 1 month after surgery, measuring less than 7 mm.

Fig. 4.

Woman, 38 years, ORUS + abdominoplasty, preoperatively (A) and 2 months after surgery (B).

Fig. 5.

Woman, 42 years, ORUS + liposuction, preoperatively (A) and 1 month after surgery (B).

Fig. 6.

Woman, 25 years, ORUS + liposuction, preoperatively (A) and 6 months after surgery (B).

Fig. 7.

Woman, 48 years, ORUS + liposuction, preoperatively (A) and 8 months after surgery (B).

Fig. 8.

Woman, 30 years, ORUS + liposuction, preoperatively (A) and 2 months after surgery (B).

Fig. 9.

Woman, 29 years, ORUS + liposuction, preoperatively (A) and 18 months after surgery (B). Reported continuing to use a compression garment for comfort.