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By wearing a tightly-laced corset for extended periods, known as tightlacing, men and women can learn to tolerate extreme waist constriction and eventually reduce their natural waist size. Tightlacers dream of 40 to 43 centimeters (16 to 17 inches) waists, but most are satisfied with anything under 50 centimeters (20 inches). Until 1998, the Guinness Book of World Records listed Ethel Granger as having the smallest waist on record at 32.5 centimeters (13 inches). After 1998, the category changed to "smallest waist on a living person" and Cathie Jung took the title with a 37.5 centimeters (15 inches) waist. Other women, such as Polaire, also have achieved such reductions (14 inches in her case).

However, these are extreme cases. Corsets were and are still usually designed for support, with freedom of body movement an important consideration in their design. Present day corset-wearers usually tighten the corset just enough to reduce their waists by 5 to 10 centimeters (2 to 4 inches); it is very difficult for a slender woman to achieve as much as 15 centimeters (6 inches), although larger women can do so more easily.

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