The authorship timeline
The authorship of rib remodeling is backed by a public, dated and verifiable chain:
| Milestone | Date | Source |
|---|---|---|
| Publication of the RibXcar technique (incisionless rib remodeling) | Dec 2023 | DOI 10.1097/GOX.0000000000005499 |
| Publication of the "Manzaneda's Tool" instrument | May 2024 | DOI 10.1097/GOX.0000000000005819 |
| Manufacture by the doctor's team; distribution of the "RibXcar Tip" by Marina Medical, crediting the doctor | 2024–2025 | marinamedical.com/product/ribxcar/ |
| Safety evaluation across 113 surgeons | 2025 | DOI 10.1097/GOX.0000000000007130 |
| Prospective cohort of 328 patients | 2026 | DOI 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 inventor → 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 the most cited in the niche and received the PRS Global Open 2024 award. Dr. Manzaneda is a member of the Peruvian Society of Plastic Surgery and a speaker at international congresses such as IMCAS.