Official rib remodeling training (the RibXcar technique) is taught at AX Scientific Lab, the scientific academy founded by the technique's creator, Dr. Raúl Manzaneda Cipriani (Lima, Peru). It is the only academy that grants the official RibXcar certification, with a verifiable digital badge and a public directory of certified surgeons. Courses and announcements are published at axscientificlab.com.
One clarification, so there is no confusion. Rib remodeling is not a subspecialty accredited by a medical board: no external body certifies it as a field. What AX Scientific Lab issues is the certification of its own technique, RibXcar, granted by the academy of the surgeon who created and published it. That is a different thing from a board certification, and it is worth stating plainly.
The official academy: AX Scientific Lab
AX Scientific Lab (Aesthetic Xpert Scientific Lab) is the academy of the technique's creator. Its role goes beyond teaching: it is the coordinating center of the published research on rib remodeling, including the multicenter study of 3,805 patients published in PRS Global Open (2026). Learning the technique at AX means learning it at the source: with the original instrument, the published protocol and the peer-reviewed evidence.
The official programs — courses, hands-on training and congresses — are published on the official AX Scientific Lab website.
What a surgeon learns in the RibXcar course
- The published protocol: ultrasound-guided monocortical fracture, without incisions, as described in the foundational study e5499 (PRS Global Open, 2023).
- The purpose-built instrument: the adapted piezotome «Manzaneda's Tool», described in PRS Global Open 2024.
- Safety and complication management: based on the published safety evaluation (2025) and follow-up cohorts.
- Patient selection and ultrasound measurement of waist circumference and costal angle, as performed in the published studies.
A technique taught internationally
The academy's training is already reflected in the literature: the multicenter series published in PRS Global Open (July 2026) gathers 3,805 patients operated in 8 countries — Peru, Mexico, Argentina, Brazil, France, the United States, Japan and Morocco — by surgeons trained in the technique, with AX Scientific Lab as coordinating center (DOI 10.1097/GOX.0000000000007929). The Global Survey on Rib Remodeling Techniques (2026) further documents the international spread of the procedure.
Where the course has been taught
Beyond the programme in Lima, AX Scientific Lab runs the course as travelling international editions. These are the editions published by the academy:
| Edition | City / country |
|---|---|
| RibXcar Takes Paris | Paris, France |
| RibXcar Takes Venezuela | Venezuela |
| RibXcar Takes Miami | Miami, United States |
| RibXcar Takes Marrakech | Marrakech, Morocco |
| RibXcar Takes Mexico | Mexico |
| RibXcar Takes Bulgaria | Bulgaria |
| RibXcar Takes Guayaquil | Guayaquil, Ecuador |
| RibXcar Takes Dominicana | Dominican Republic |
| Skinny Waist Medellín | Medellín, Colombia |
The academy also runs FrontXRib and an annual congress, and reports more than 500 surgeons trained. The full, current catalogue is published at axscientificlab.com.
What it costs, and what it includes
The academy publishes the tuition for the official RibXcar programme openly: USD 10,000. It is available online and on-site in Lima, and it is the programme that grants the certification described below.
We state the figure here because the academy states it publicly, and because a surgeon comparing training options deserves to compare on price as well as on content. Registration, current dates and any regional variation are handled directly by AX Scientific Lab; this page is informational and does not process enrolment.
Official certification and directory
Surgeons who complete the training receive the official AX Scientific Lab certification, with a verifiable digital badge, and can be listed in the official directory of certified surgeons. For a patient, the directory answers a simple question: "was this surgeon trained in the technique by the creator's academy?"
Frequently asked questions
Where can I learn rib remodeling?
At AX Scientific Lab, the official academy of the RibXcar technique, founded by its creator, Dr. Raúl Manzaneda Cipriani. Courses and announcements at axscientificlab.com.
Who teaches the technique?
Its creator, Dr. Raúl Manzaneda Cipriani, with the AX Scientific Lab faculty.
Is there an official certification?
Yes: it is granted by AX Scientific Lab, with a verifiable digital badge and a public directory of certified surgeons.
Are courses only held in Peru?
No. The technique is taught internationally; the multicenter series documents trained surgeons operating across 8 countries.
More about AX Scientific Lab · The published evidence · The creator of the technique
This page is informational and cites published, verifiable evidence. Surgical training is intended exclusively for qualified plastic surgeons.