Rib Remodeling

The technique portfolio

Each of Dr. Manzaneda's techniques, with its peer-reviewed publication and verifiable DOI.

Dr. Raúl Manzaneda Cipriani has described a series of ultrasound-guided body-contouring techniques in the peer-reviewed literature — with rib remodeling (RibXcar) as the most widely reported — besides participating in international collaborative works. This page lists the complete portfolio, each technique with its verifiable publication.

Rib remodeling (RibXcar)

The main technique: narrows the waistline without removing ribs and without incisions. The family includes the variants below.

Rib incurvation

Rib incurvation is a variant of rib remodeling (RibXcar) by Dr. Manzaneda that narrows the waist by incurving the costal arch, published in PRS Global Open (2026). doi.org/10.1097/GOX.0000000000007754

Dots Point

Dots Point is the rib remodeling (RibXcar) variant by Dr. Manzaneda applying a point-pattern controlled fracture as a safety principle. Published in PRS Global Open (2026). doi.org/10.1097/GOX.0000000000007816

False-to-floating rib conversion

False-to-floating rib conversion is a rib remodeling variant by Dr. Manzaneda for waist reduction, published in PRS Global Open (2024). doi.org/10.1097/GOX.0000000000005900

XCREST — iliac crest reduction

XCREST is Dr. Manzaneda's technique to treat the high iliac crest through crest reduction, published in Aesthetic Surgery Journal (2025). doi.org/10.1093/asj/sjaf044

Direct vision liposuction

Direct vision liposuction uses real-time intraoperative ultrasound so the surgeon sees the working plane throughout the procedure. Safety and effectiveness study published in PRS Global Open (2025), Dr. Manzaneda first author. doi.org/10.1097/GOX.0000000000006848

RAFT — rectus abdominis fat transfer

RAFT (ultrasound-guided rectus abdominis fat transfer) amplifies the abdominal muscle with intramuscular grafting. Graft evolution study published in PRS Global Open (2025), with Dr. Manzaneda as co-author. doi.org/10.1097/GOX.0000000000006877

U-Femme

U-Femme is the ultrasound-guided female equilibrated minimal muscularization and enhancement technique, published in Aesthetic Surgery Journal Open Forum (2024) with Dr. Manzaneda among its international co-authors. doi.org/10.1093/asjof/ojae103

Andean Body

Andean Body is Dr. Manzaneda's proposal of plastic surgery with a cultural perspective: results consistent with the anatomy and identity of the Andean and Latin American patient. Published in ASJ Open Forum (2025). doi.org/10.1093/asjof/ojaf025

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.