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Plate 04 of 09 · Chest and waist

XCrest

Iliac crest reduction

Treats the high iliac crest, which is what prevents a narrow waist when bone — not fat — defines the contour. It aims for a more harmonious transition between waist, hip and buttock.

XCrest: Iliac crest reduction
Fig. 04 — XCrest

The record

Area
Iliac crest · waist-hip transition
Study
200 patients · Aesthetic Surgery Journal, 2025
Measurements
Waist, crest-trochanter, last rib-crest
Follow-up
6 months

What the study measured

−11 cm
mean waist at six months: from 83.1 to 72.1 cm
3.8 cm
more mean distance between the last rib and the crest
200
patients in the study

How it was studied

The study measured 200 women before surgery, immediately after and at six months: mean waist went from 83.11 cm to 72.31 cm and held at 72.06 cm at six months.

The distance between the last palpable rib and the iliac crest increased by 3.8 cm on average: that is the space that visually defines the waist.

What the study does not allow us to claim

10% of patients had pain lasting less than two months, which was treated.

The study is level of evidence 4 with six-month follow-up. Candidacy depends on each patient's bone anatomy.

Where this plate comes from

Treatment of the High Iliac Crest With Iliac Crest Reduction (XCREST)
Aesthetic Surgery Journal · 2025 · doi:10.1093/asj/sjaf044

XCrest

Candidacy is decided by examination.

If you want to know whether XCrest is right for you, the first step is an assessment.

Ask about XCrest