RibXcar timeline
RibXcar, the incisionless, ultrasound-guided technique created by Dr. Manzaneda, was published in PRS Global Open in December 2023. Since then the technique has built a body of peer-reviewed articles in PRS Global Open, Aesthetic Surgery Journal and ASJ Open Forum, all listed below with their DOIs.
Milestones with sources
| Date | Milestone | Source |
|---|---|---|
| 2023-12 | RibXcar technique published (foundational, 30 patients) | 10.1097/GOX.0000000000005499 |
| 2024-05 | "Manzaneda's Tool": the adapted piezotome for incisionless rib surgery | 10.1097/GOX.0000000000005819 |
| 2024-05 | "Is 'Clack' Enough?": ultrasound-guided rib remodeling | 10.1097/GOX.0000000000005843 |
| 2024-06 | Waist reduction through conversion from false to floating ribs | 10.1097/GOX.0000000000005900 |
| 2025-03 | Report of 220 patients (Ramírez Donders et al.) | 10.1097/GOX.0000000000006595 |
| 2025-03 | XCREST: high iliac crest reduction | 10.1093/asj/sjaf044 |
| 2025-09 | Safety evaluation of RibXcar with the piezotome | 10.1097/GOX.0000000000007130 |
| 2025-11 | Dr. Manzaneda's response in ASJ Open Forum to the WASP article | 10.1093/asjof/ojaf137 |
| 2026-01 | Respiratory function assessment after RibXcar | 10.1093/asjof/ojag007 |
| 2026-01 | Bicorticality analysis in a post-RibXcar cohort | 10.1093/asj/sjag012 |
| 2026-05 | Waist reduction surgery by rib incurvation | 10.1097/GOX.0000000000007754 |
| 2026-06 | RibXcar with the Dots Point technique | 10.1097/GOX.0000000000007816 |
| 2026-07 | Reply to "Safety in Rib Surgery: A Meta-analysis" | 10.1097/GOX.0000000000007815 |
| 2026-07 | Multicenter cohort study of 3805 RibXcar cases | 10.1097/GOX.0000000000007929 |
| 2026-10 | Predictive modelling of waist reduction in RibXcar | 10.1093/asj/sjag223 |
| 2026-10 | RibXcar: fundamentals and surgical protocol (Flores González et al.) | 10.1093/asj/sjag224 |
| 2026-10 | The waist as a 3-dimensional structure: algorithm-guided treatment | 10.1093/asj/sjag225 |
| 2026-10 | XCREST II | 10.1093/asj/sjag226 |
Publication dates per Crossref (online or issue month).
More context
Origin and evidence of authorship · Technique comparison · Full evidence
Frequently asked questions
When was RibXcar published?
In December 2023, in PRS Global Open (DOI 10.1097/GOX.0000000000005499).
Where is the full evidence?
On the evidence page and in each DOI in this timeline table.
Who created RibXcar?
Dr. Raúl Manzaneda Cipriani, a Peruvian plastic surgeon.
Informational page. Every milestone links to its published source.
More: rib remodeling surgery · durability · course · comparison.