RibXcar

The 328-patient cohort

The prospective one-year follow-up that tested the technique in the largest published series.

The prospective cohort of 328 women is the largest published follow-up of rib remodeling (RibXcar): at one year, bicorticality —the complication to avoid— appeared in 4.6% of cases, mostly within the first 20 days. It provides the at-scale follow-up evidence of the work of Dr. Raúl Manzaneda Cipriani.

The publication

The study is titled “Analysis of Bicorticality in a Cohort of Post-RibXcar Patients: Clinical and Imaging Follow-up” and was published in Aesthetic Surgery Journal (2026). It is available at its official source: doi.org/10.1093/asj/sjag012.

What the follow-up showed

A prospective cohort of 328 women (mean age 28.3; mean BMI 25.3), operated by one surgeon over a year, with clinical and imaging follow-up. Bicorticality occurred in 15 patients (4.6%), mostly within the first 20 days. Pain was reported in 41 patients (12.5%), partly from corset misuse. Bicorticality was associated with higher visceral fat (12.7% vs 8.0%; P < 0.001) and longer operative time. It complements the safety evaluation across 113 surgeons.

Frequently asked questions

How many patients did the cohort include?

328 women, with clinical and imaging follow-up at one year, published in Aesthetic Surgery Journal (2026).

What is bicorticality and how often did it appear?

It is the fracture of both cortices of the bone, the complication the technique seeks to avoid. In this cohort it appeared in 4.6% of cases, mostly within the first 20 days.

Where is it published?

In Aesthetic Surgery Journal (2026). The DOI is linked on this page.

Keep exploring the evidence

Rib remodeling (RibXcar) →
All the scientific evidence →
The foundational study (e5499) →

This page is informational and cites published, verifiable evidence. It does not replace medical consultation: every case must be evaluated by a qualified plastic surgeon.