The procedures performed at the practice, described in technical detail. Each surgical plan is determined by the patient's implant history, anatomy and pathology findings, and is confirmed with Dr. Urzola before surgery.
The primary procedure at the practice is the complete removal of breast implants together with the capsular tissue formed around them. En-bloc removal takes out the implant and its capsule as a single, intact unit, so no capsular tissue is left behind.
En-bloc removal is performed wherever the tissue safely allows. Where anatomy or safety does not permit a complete en-bloc, a total capsulectomy is carried out, removing all capsular tissue. The approach applies to both silicone and saline implants, and to the revision of prior augmentations.
“The standard is a complete, methodical explant: total capsulectomy, en-bloc where the tissue allows, and pathology on every capsule.”
The U-Flap is a technique developed by Dr. Urzola. Rather than replacing volume with an implant, it uses the patient's own upper-abdominal and breast tissue as an internal flap to restore fullness and shape at the same time as the lift.
The flap is created through the incisions already required for a breast lift, so no additional scarring is introduced to achieve the added volume. The result is a fuller, lifted breast constructed entirely from the patient's own tissue, with no implant.
Where implants were placed beneath the pectoral muscle (a sub-muscular placement), their removal can leave the muscle detached or distorted, sometimes with visible movement on flexing. Left unaddressed, this affects both the appearance and the function of the chest wall.
The pectoral muscle is reattached and repaired during the explant, restoring chest-wall contour and function. This step is performed as part of the same procedure and addresses distortion that removal alone would leave behind.
Fat transfer is not performed at the same time as the explant. It is a separate procedure, carried out after full explant recovery, because the tissues need to settle before they can support and nourish grafted fat.
At that stage, fat is harvested by liposuction from another area of the body and transferred to restore volume. As a guide, approximately one cup size is added per session, with roughly half of the transferred fat surviving long-term. The final result settles over approximately six months as the graft integrates. Outcomes vary between patients.
Surgery is performed under general anesthesia at CIMA, an internationally accredited hospital (JCI-standard), with a dedicated anesthesiology team providing continuous monitoring throughout the procedure.
Preparation follows a defined protocol. Patients fast for eight hours before surgery and must disclose all medications and herbal supplements, some of which are stopped in advance because they can affect bleeding or the response to anesthesia. After surgery, patients recover in a monitored PACU for approximately forty-five to sixty minutes, with 24-hour nursing at selected recovery locations. Anesthesiology care is provided by Dr. Daniel Masis, Dr. Tania Morera Martinelli and Dra. María Luisa Cedeño.
Submit your history for review by Dr. Urzola, who advises on the appropriate procedure. Consultations are confidential and carry no obligation.