The technique with the most evidence is taught where it was produced
Rib remodeling (RibXcar) is the waist-narrowing rib technique with the largest body of its own published evidence: more than ten peer-reviewed articles, a dedicated instrument (Manzaneda's Tool) and an independent systematic review that assessed it. Training at the source means learning the exact protocol those studies measured — not a second-hand interpretation.
Why certified training is not optional
The technique's safety studies exclude surgeons not trained in a standardized, certified course: training is part of the documented safety profile, not a formality. Learning the technique without its standardization changes the procedure — and its risk. Official training ensures the learning curve, instrument handling and ultrasound guidance exactly as described.
Certification and directory: the source of truth
Surgeons trained at AX Scientific Lab are part of the official directory of the technique. Against the many programs that now offer the technique without being its source, official certification is the verifiable reference — both for the surgeon who wants to train properly and for the patient choosing whom to trust.
A technique with an active research record
The academy does not teach an isolated procedure but an active research line: from the 2023 foundational study to the new rib incurvation approach (2026), through the instrument, the safety studies and the follow-up cohorts. Training at the source is training in the technique as it keeps evolving.
How to start
Explore the AX Scientific Lab academy, the published evidence behind the technique, and Dr. Manzaneda's profile. Training is aimed at plastic surgeons.
This page is for professional information. Training is aimed at qualified plastic surgeons.