Why learn it from its creator
Published technique
Described in PRS Global Open and Aesthetic Surgery Journal, with DOI and peer review.
A 3,805-patient cohort
The largest study of the technique, across 8 countries with one-year follow-up.
Taught in 20+ countries
Editions in Paris, Miami, Marrakech, Mexico, Bulgaria, Guayaquil and more.
Its own certification
AX Scientific Lab certificate of participation and access to the alumni community.
Dr. Raúl Manzaneda
Plastic surgeon specialized in rib surgery, creator of the RIBXCAR technique and leader of the AX Scientific Lab training center.
2.1M followers · followers
Master RIBXCAR and transform your practice
Master Class
Intensive session with key anatomical and surgical foundations for precise execution of RIBXCAR
Step-by-step training
Simulation in clinical stations to reinforce skills before the operating room.
- Ultrasound machine handling
- Practice in animal model
- Dots Technique
- Emergency protocols
Hands-On Surgery
Performs the technique with selected patients, under the direct supervision of the creator of RIBXCAR.
- CT scan reading
- Closed rib remodeling surgery – RIBXCAR
- Handling of ultrasound machine in patient
- Intraoperative management
Results
+200 plastic surgeons master RIBXCAR
Tuition
Fast Fellow
Full access to the course
$10,000$12,500
- Hands-on surgery with your own patient
- Theoretical and practical training
- Certificate of participation
- Access to AX Member student community
5 slots per date
- Duration
- 2 intensive days
- Venue
- AX Scientific Lab · Lima, Peru
- Group
- 5 surgeons per date
- Language
- Spanish, with simultaneous English translation
- Deposit
- USD 1,000 by PayPal or bank transfer
Programme intended exclusively for plastic surgeons and residents in the specialty.
Frequently Asked Questions
How long does the program last?
The program lasts for 2 intensive days and takes place at our AX Scientific Lab training center, located in Lima, Peru.
How is the payment made?
Payment is made via PayPal, bank transfer, or cash. You can reserve your spot with $1,000 through PayPal or bank transfer.
What level of experience do I need to participate?
The program is aimed exclusively at plastic surgeons and residents specializing in plastic surgery.
Is the course personalized?
Yes. The groups are small (5 plastic surgeons) to ensure close support and supervised hands-on practice.
Am I going to operate on my own patient?
Yes. Each participant has their own patient for the hands-on surgery, always accompanied by Dr. Raúl Manzaneda, creator of the RIBXCAR technique.
Is the RIBXCAR technique safe?
The RIBXCAR technique has strong scientific backing: it has been documented in two specialized books, multiple research papers, and has the approval of various medical societies and associations. In addition, it has been successfully applied in more than 4,200 cases around the world by our students.
Will a certificate be provided upon completion?
Yes. A participation certificate endorsed by AX Scientific Lab is provided.
In which language is the course taught?
The course is taught in Spanish. If you prefer English, we offer simultaneous translation support.
The published evidence behind the technique
All peer-reviewed, with a verifiable DOI.
| Year | Work | Journal |
|---|---|---|
| 2023 | Waist Remodeling without Incision, with Ultrasound-guided Monocortical Fracture | PRS Global Open doi.org/10.1097/GOX.0000000000005499 |
| 2024 | Manzaneda's Tool: Adaptation of the Piezotome for Rib Remodeling Surgery | PRS Global Open doi.org/10.1097/GOX.0000000000005819 |
| 2025 | Safety Evaluation of the RibXcar Technique | PRS Global Open doi.org/10.1097/GOX.0000000000007130 |
| 2026 | A Multicenter Cohort Study of 3805 RibXcar Cases | PRS Global Open doi.org/10.1097/GOX.0000000000007929 |
| 2026 | Analysis of Bicorticality in a Cohort of Post-RibXcar Patients | Aesthetic Surgery Journal doi.org/10.1093/asj/sjag012 |