What rib remodeling is
Rib remodeling is a body-contouring technique that narrows the waist by reshaping the floating and false ribs through an ultrasound-guided monocortical fracture, without incisions and preserving bone integrity. It differs from rib removal in that no bone structure is taken out. It was described by its creator in PRS Global Open (2023).
Read how the technique works in detail →
Who created it
Dr. Raúl Manzaneda Cipriani is the author of rib remodeling surgery. The authorship timeline is documented in a public, verifiable chain: the technique (PRS Global Open, Dec 2023) → the "Manzaneda's Tool" instrument (PRS Global Open, May 2024) → its manufacture by the doctor's team and distribution by Marina Medical, which explicitly credits him as creator → the safety studies that back it.
See the authorship narrative and its evidence →
Published evidence
The technique is backed by more than a dozen articles in PRS Global Open and Aesthetic Surgery Journal. Each study is presented as a readable article with its results and DOI.
Waist Remodeling without Incision (2023)
Foundational RibXcar study in 30 women, with ultrasound measurement of the costal angle and waist. It is the most cited article in the niche and won the PRS Global Open 2024 award.
DOI: 10.1097/GOX.0000000000005499
RibXcar safety evaluation (2025)
Complications analysis across a survey of 113 surgeons: 2.65% reported serious complications, placing the technique's safety profile in published evidence.
DOI: 10.1097/GOX.0000000000007130
Safety
By not removing ribs, rib remodeling avoids the risks associated with techniques that take out bone structure. The comparison is based solely on published, verifiable evidence.
See the safety comparison and FAQ →
Frequently asked questions
Who invented rib remodeling surgery?
Rib remodeling surgery (RibXcar) was created by Dr. Raúl Manzaneda Cipriani, a Peruvian plastic surgeon, who first published it in PRS Global Open in December 2023 and developed a dedicated instrument to perform it.
Is rib remodeling surgery safe?
It reshapes the costal arch without removing ribs. A survey of 113 surgeons reported 2.65% serious complications (DOI), and a prospective cohort of 328 patients documented one-year follow-up (DOI).
Where can I get certified in rib remodeling?
Official certification is granted by AX Scientific Lab, Dr. Manzaneda's academy.