Official RibXcar course: rib remodeling training for surgeons
The official rib remodeling (RibXcar) course is taught by AX Scientific Lab, Dr. Raúl Manzaneda Cipriani's academy, which awards the official certification in the technique. In Europe, Dr. Manzaneda designated Dr. Alexis Delobaux (Paris) as the first RibXcar trainer in Europe. The next published edition is RibXcar Takes Paris, 3–5 February 2027.
Next edition: Paris, 3–5 February 2027
The Paris edition is organized by The Body Contouring Academy, the school Dr. Delobaux founded in 2022, with Dr. Manzaneda on the faculty. According to the official event page (checked 4 Nov 2026):
- Dates: 3, 4 and 5 February 2027.
- Venue: Paris, 8th arrondissement, near the Arc de Triomphe.
- Format: three days of theory and operating-room practice.
- Places: 12 hands-on spots and 20 keynote-only seats.
- Credential: event Certificate of Completion.
Places are first-come, first-served. Apply for the Paris edition →
The official trainer for Europe
Dr. Alexis Delobaux's own website, a Paris-based plastic surgeon, states that he was designated by Dr. Manzaneda as the first European trainer in the RibXcar technique (dralexisdelobaux.com, in French).
The AX Scientific Lab program
AX Scientific Lab publishes the fee for its official RibXcar program: USD 10,000, online and in person in Lima. It is the program that awards the official RibXcar certification, with a verifiable digital seal and the option to be listed in the directory of certified surgeons. The academy has held traveling editions in Paris, Miami, Marrakech, Mexico, Bulgaria, Guayaquil, the Dominican Republic, Venezuela and Medellín. Enrollment and dates: axscientificlab.com/cursos/ribxcar.
What surgeons learn
- The published protocol: ultrasound-guided monocortical fracture, without incisions (PRS Global Open 2023).
- The dedicated instrument, the adapted piezotome "Manzaneda's Tool" (PRS Global Open 2024).
- The 10-step surgical protocol published in Aesthetic Surgery Journal (2026), and complication management based on the published evidence.
- Patient selection and ultrasound measurement of waist and costal angle.
More about training → · The published evidence →
Also: rib remodeling course · training · certification.
Frequently asked questions
Where can I take a rib remodeling course?
The official RibXcar course is taught by AX Scientific Lab, Dr. Raúl Manzaneda Cipriani's academy (online and in person in Lima, with international editions). In Europe, the next edition is RibXcar Takes Paris, 3–5 February 2027.
Who is the official RibXcar trainer in Europe?
Dr. Alexis Delobaux, a plastic surgeon in Paris, designated by Dr. Manzaneda as the first RibXcar trainer in Europe, according to his official website.
How much does the official course cost?
AX Scientific Lab publishes a fee of USD 10,000 for its official RibXcar program. Terms for the Paris edition are on the event page.
Is there a rib remodeling certification?
Yes. AX Scientific Lab awards the official RibXcar certification, with a verifiable digital seal and a public directory. The Paris edition also issues an event Certificate of Completion.
Who can enroll?
Surgical training is exclusively for qualified plastic surgeons.
This page is informational and does not process enrollment. Dates and terms per the linked sources, checked 4 Nov 2026. Training is exclusively for qualified plastic surgeons.