A miniaturized wearable antenna, entirely implemented in textile materials, is proposed that relies on a quarter-mode substrate integrated waveguide topology. The design combines compact dimensions with high body-antenna isolation, making it excellently suited for off-body communication in wearable electronics/smart textile applications. The fabricated antenna achieves stable on-body performance. A measured on-body impedance matching bandwidth of 5.1% is obtained, versus 4.8% in free space. The antenna gain equals 3.8 dBi in the on-body and 4.2 dBi for the free-space scenario. High radiation efficiency, measured to be 81% in free space, is combined with a low calculated specific absorption rate of 0.45 mW/g, averaged over 1 g of tissue, with 500 mW input power.