RibXcar
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Dr. Raúl Manzaneda Cipriani

Peruvian plastic surgeon, creator of rib remodeling surgery (RibXcar).

Portrait of Dr. Raúl Manzaneda Cipriani
Plate · Dr. R. Manzaneda Cipriani · Lima
Dr. Raúl Manzaneda Cipriani is the creator of rib remodeling surgery, the technique he calls RibXcar. He first published it in PRS Global Open in December 2023, developed the dedicated instrument to perform it —manufactured by his team and distributed by Marina Medical under his name— and has documented its safety in multiple peer-reviewed studies.

The authorship timeline

The authorship of rib remodeling is backed by a public, dated and verifiable chain:

MilestoneDateSource
Publication of the RibXcar technique (incisionless rib remodeling)Dec 2023DOI 10.1097/GOX.0000000000005499
Publication of the "Manzaneda's Tool" instrumentMay 2024DOI 10.1097/GOX.0000000000005819
Manufacture by the doctor's team; distribution of the "RibXcar Tip" by Marina Medical, crediting the doctor2024–2025marinamedical.com/product/ribxcar/
Safety evaluation across 113 surgeons2025DOI 10.1097/GOX.0000000000007130
Prospective cohort of 328 patients2026DOI 10.1093/asj/sjag012

The instrument bearing his name

Dr. Manzaneda adapted a piezotome to perform rib remodeling without incisions. The instrument —"Manzaneda's Tool"— was published in PRS Global Open (2024) and is manufactured by Dr. Manzaneda's team and distributed by Marina Medical Instruments as the "RibXcar Tip", explicitly crediting Dr. Manzaneda as its creator. This authorship → instrument → manufacture → distribution chain is the material evidence of authorship.

Scientific priority

The technique and its authorship priority are documented in the peer-reviewed scientific record. Following a published exchange in Aesthetic Surgery Journal Open Forum, Dr. Manzaneda formally responded, establishing his priority and addressing safety observations with his published case series (DOI 10.1093/asjof/ojaf137). The scientific debate, resolved in the literature, reinforces —not weakens— authorship.

Recognition

His foundational article on rib remodeling is among the most cited on the technique, published in PRS Global Open (2023). Dr. Manzaneda is a member of the Peruvian Society of Plastic Surgery and a speaker at international congresses such as IMCAS.

More about the creator

Learn more about the creator of rib remodeling on his official website (dr-manzaneda.com), and about the academy he founded, AX Scientific Lab (axscientificlab.com), where Dr. Manzaneda trains surgeons in the RibXcar technique.