What is rib remodeling?
A plastic surgery technique created by Dr. Raúl Manzaneda to narrow the waist by remodeling the floating and false ribs —without removing them and without incisions— through a controlled, ultrasound-guided monocortical fracture. Also known as RibXcar.
Are the ribs removed or cut?
No. Unlike traditional rib resection, rib remodeling does not remove ribs: it curves them into a new position through a controlled monocortical fracture. That is why it needs no incisions and leaves no external scars.
Is it the same as RibXcar?
Yes. RibXcar is the name of the rib remodeling technique developed and published by Dr. Raúl Manzaneda Cipriani.
Who created the technique?
Dr. Raúl Manzaneda Cipriani, a plastic surgeon. He published the foundational technique in PRS Global Open (2023) and developed the specific instrument (Manzaneda's Tool). Meet the creator →
Is it scientifically supported?
Yes. Documented in more than ten peer-reviewed articles in PRS Global Open and Aesthetic Surgery Journal, and even in an independent systematic review and meta-analysis. Each study is published with a verifiable DOI. See the evidence →
Is it safe?
A safety study of 113 surgeons using the technique reported 2.65% serious complications. Like any surgery it carries risks, so it must be performed by a surgeon specifically trained in the technique. More on safety →
Does it leave scars?
It leaves no visible external scars, because it is performed without incisions, guided by ultrasound.
Is the result permanent?
The ribs are remodeled into a new position. Mid-term results are documented in published follow-up cohorts. The individual result and its evolution are assessed by the treating surgeon.
What is recovery like?
Recovery varies for each patient. The surgeon provides postoperative care and follow-up. Studies assess aspects such as respiratory function after the procedure.
How do I find a surgeon who performs the technique?
Through the directory of trained surgeons. It is important to choose a professional with specific training in rib remodeling. Go to the directory →
Where can I train in the technique?
Official training is offered at Dr. Manzaneda's academy (AX · Aesthetic Xpert · Scientific Lab), for plastic surgeons. About the academy →
This page is informational and cites published, verifiable evidence. It does not replace medical consultation: each case must be assessed by a qualified plastic surgeon.