Rib Remodeling

Dots Point technique

The point-pattern fracture as a safety principle within rib remodeling (RibXcar).

Dots Point is the rib remodeling (RibXcar) variant that applies a point-pattern («dots») controlled fracture as a safety principle of the procedure, described by Dr. Raúl Manzaneda Cipriani and his team.

The publication

The technique is described in “RibXcar with Dots Point Technique: The Science of Fracture as a Safety Principle”, published in PRS Global Open (2026). The first author is Dr. Raúl Manzaneda Cipriani, with Durán, Adrianzén, Flores, Romero Algara and Salazar as co-authors. The article is available at its official source: doi.org/10.1097/GOX.0000000000007816.

Where it sits in the portfolio

Within the RibXcar family, Dots Point focuses on the science of the controlled fracture: how to distribute the working points so the rib repositioning is performed with a safety margin. It complements the technique's published safety evidence (see safety).

Frequently asked questions

What does Dots Point add to rib remodeling?

A point-pattern fracture designed as a safety principle for the procedure, described and published in PRS Global Open (2026).

Who developed the Dots Point technique?

Dr. Raúl Manzaneda Cipriani is the first author of the publication, within his line of rib remodeling techniques.

More from Dr. Manzaneda's portfolio

Complete technique portfolio →
Rib remodeling (RibXcar) →
Scientific evidence →

This page is informational and cites published, verifiable evidence. It does not replace medical consultation: every case must be evaluated by a qualified plastic surgeon.