RibXcar

Results

What actually changes in the silhouette with rib remodeling, and what the evidence says.

Rib remodeling (RibXcar) reduces the waist diameter by repositioning the floating and false ribs —without removing bone or leaving external scars—. The degree of change depends on each person's anatomy and is assessed by the surgeon.
Cases · aesthetic result
Frontal view
01
Frontal view
Reduction of waist diameter while preserving bone structure.
Posterior view
02
Posterior view
The dorsal contour follows the narrowing of the lower costal arch.
Dr. Manzaneda
No bone is removed. It is remodeled and repositioned —ultrasound-guided, without incisions.Dr. Raúl Manzaneda Cipriani · creator of the technique
Operative documentation
Case 02
Case 02Before / after · incision-free approach
Case 03
Case 03Before / after · incision-free approach
Case 04
Case 04Before / after · incision-free approach

Photographs from Dr. Manzaneda's archive. Results are individual and vary by patient; shown for informational purposes and not a promise of outcome.

What changes in the silhouette

By curving the lower ribs into a new position, the costal arch —and with it the waist circumference— is narrowed. The effect is on the structure of the contour, not just on fat, which is why it is often combined with procedures such as liposuction according to the surgeon's plan.

When they become visible

The contour becomes visible as postoperative swelling subsides, in a process that varies for each patient. The surgeon supports that evolution in follow-up visits.

Permanence

Because the ribs are remodeled into a new position, the effect on the contour is structural. Mid-term results are documented in published follow-up cohorts (including a prospective cohort of 328 patients with one-year follow-up). Individual evolution is assessed by the treating surgeon.

Realistic expectations

Every body responds differently and the result depends on the starting anatomy. Having realistic expectations and choosing a trained surgeon are part of a good result. See the published evidence → · Find a trained surgeon →

This page is informational. Results vary for each person and must be assessed by a qualified plastic surgeon.