El equipo de la clínica ha realizado más de 4.500 cirugías estéticas y más de 1.800 cirugías reconstructivas. La extracción de implantes mamarios puede incluir una capsulectomía parcial, total o en bloque, y la planificación puede basarse en ecografías, mamografías o resonancias magnéticas. La cirugía se realiza en hospitales asociados con apoyo de UCI, y la estancia hospitalaria promedio es de 24 horas. La clínica es Miembro Titular de la Sociedad Brasileña de Cirugía Plástica y miembro de ISAPS.
","text_type":"mt_wow_description","best_texts":{"techniques":"Capsulectomía en bloque, capsulectomía total, capsulectomía parcial, ecografía, mamografía, resonancia magnética.","why_its_ranked":"Ofrece capsulectomía parcial, total y en bloque, con ecografía, mamografía y resonancia magnética. El cirujano presentó 84 casos en el congreso de la SBCP."},"reviews":[],"clinic":{"id":9161,"alias":"clinic-de-plastic-surgery-giovana-romano","name":"clinic de plastic surgery Giovana Romano","short_description":"La Clínica de Cirugía Plástica Giovana Romano es un centro privado en Curitiba, Brasil. Se especializa en cirugía plástica estética y reconstructiva, y rejuvenecimiento facial. La Dra. Giovana Romano cuenta con más de 25 años de experiencia quirúrgica. Es miembro titular de la Sociedad Brasileña de Cirugía Plástica. También pertenece a la Sociedad Internacional de Cirugía Plástica Estética.
El equipo médico ha realizado más de 4.500 cirugías estéticas y 1.800 reconstructivas. El total de citas de pacientes supera las 10.000. Todas las cirugías se realizan en hospitales con apoyo de UCI. La clínica utiliza técnicas videoendoscópicas para los estiramientos faciales con el fin de minimizar las cicatrices. El equipo también realiza estiramientos faciales de plano profundo, blefaroplastias y procedimientos mamarios. El apoyo durante la recuperación incluye fisioterapia especializada y drenaje linfático. Los pacientes que viajan desde fuera de Curitiba reciben atención de seguimiento personalizada.
","images":[{"base_url":"clinic/6ae12a8eb957d","title":"Cirujano plástico en quirófano de la Clínica Giovana Romano, Brasil"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brasil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Curitiba","id":2581,"alias":"curitiba"},"address":"Rua Prof Duílio A Calderari, 64, Curitiba, PR, Brazil, 80.040-250"},"rating":{"rating":0,"google":5,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":5},"accreditations":[]}},{"text":"Dr. Anne Groth es una clínica de cirugía plástica en Curitiba, Brasil. Se especializa en cirugía mamaria, desde procedimientos estéticos hasta reconstructivos. La Dra. Groth cuenta con más de 25 años de experiencia médica y lleva 20 años especializándose en cirugía plástica. Su formación incluye una etapa en la Cleveland Clinic, en Estados Unidos.
Durante las consultas, la clínica utiliza la simulación 3D de Crisalix para planificar las cirugías. Esto ayuda a las pacientes a visualizar los posibles resultados antes del procedimiento. Entre los principales servicios se incluyen la mastopexia, el aumento de senos y la reconstrucción microquirúrgica con la técnica DIEP. La Dra. Groth también realiza reducción mamaria y cirugía de explantación. La clínica ofrece atención tanto en línea como presencial para pacientes internacionales.
","text_type":"short_description","reviews":[],"clinic":{"id":9202,"alias":"anne-groth","name":"Anne Groth","short_description":"Dr. Anne Groth es una clínica de cirugía plástica en Curitiba, Brasil. Se especializa en cirugía mamaria, desde procedimientos estéticos hasta reconstructivos. La Dra. Groth cuenta con más de 25 años de experiencia médica y lleva 20 años especializándose en cirugía plástica. Su formación incluye una etapa en la Cleveland Clinic, en Estados Unidos.
Durante las consultas, la clínica utiliza la simulación 3D de Crisalix para planificar las cirugías. Esto ayuda a las pacientes a visualizar los posibles resultados antes del procedimiento. Entre los principales servicios se incluyen la mastopexia, el aumento de senos y la reconstrucción microquirúrgica con la técnica DIEP. La Dra. Groth también realiza reducción mamaria y cirugía de explantación. La clínica ofrece atención tanto en línea como presencial para pacientes internacionales.
","images":[{"base_url":"clinic/6ae157d5ca4f9","title":"Miembro del personal de la clínica Anne Groth con atuendo formal sobre fondo elegante"},{"base_url":"clinic/6ae157d7ad93e","title":"Retrato de especialista médico en Anne Groth Show Clinic con fondo de marca"},{"base_url":"clinic/6ae157d9713e0","title":"Miembro del personal de Anne Groth Show Clinic con vestimenta profesional y fondo de marca"},{"base_url":"clinic/6ae157db393da","title":"Cirujana plástica de la clínica Anne Groth Show con vestimenta profesional"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Brasil","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"Curitiba","id":2581,"alias":"curitiba"},"address":"R. 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"},"913":{"operation":{"name":"Extracción de implantes mamarios","alias":"breast-implant-removal","use_for_listing":true},"country_price":{"US":{"amount":3000,"max_amount":9000,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"},"TH":{"amount":1200,"max_amount":2400,"currency":"USD","clinic_count":12,"price_kind":"from_range","price_source":"mixed","scope":"country"},"ES":{"amount":3500,"max_amount":4900,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":4000,"max_amount":4600,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"US":true,"TH":true,"ES":true,"BR":true},"description":"El procedimiento consiste en quitar o reemplazar los implantes mamarios, mejorando la forma natural, lo que puede aumentar la confianza y aliviar la incomodidad.
"},"938":{"operation":{"name":"Capsulectomía mamaria","alias":"breast-capsulectomy","use_for_listing":true},"country_price":{"US":{"amount":6500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":1500,"max_amount":5600,"currency":"USD","clinic_count":3,"price_kind":"from_range","price_source":"tariff","scope":"country"},"ES":{"amount":4000,"max_amount":6600,"currency":"USD","clinic_count":2,"price_kind":"from_range","price_source":"tariff","scope":"country"},"BR":{"amount":3000,"max_amount":4800,"currency":"USD","clinic_count":1,"price_kind":"from_range","price_source":"tariff","scope":"country"}},"available_clinics":{"UA":false,"FR":false,"GB":false,"US":false,"IL":false,"TR":true,"MX":true,"DE":false,"CA":false,"AE":false,"TH":true,"PL":true,"KR":true,"CZ":false,"AT":false,"ES":true,"IT":false,"CN":false,"AU":false,"IN":false,"MY":false,"VN":false,"BR":true},"description":"El procedimiento consiste en la extirpación quirúrgica del tejido cicatricial alrededor de un implante mamario, lo que mejora la comodidad y la apariencia.
"}}},"operationIndicators":{"details":{"anesthesia":"general","days_in_clinic":1,"days_in_country":7,"rehabilitation_days":14,"satisfied_percent":78,"treatment_duration_hours":2},"illness_kind_details":{"requests_processed":110449}},"responsibleDoctor":{"id":1758,"alias":"ergin-er","name":"Ergin Er","photo":"doctor/5cd02aa7a3f4e","advisory_text":"El Dr. Ergin Er es cirujano plástico, reconstructivo y estético con más de 10,000 procedimientos estéticos. Ha sido galardonado en múltiples ocasiones en los Congresos Nacionales Turcos de Cirugía Plástica y realizó estudios avanzados en el Baylor College of Medicine de Houston, Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Cirujano plástico","illness_kind_id":38}]},"direction":{"id":38,"name":"Cirugía plástica","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Desk-based work after bilateral or unilateral total capsulectomy with implant exchange or removal; physical work usually longer."},"complication_rate_pct":{"min":5,"max":15,"unit":"percent","qualifier":"Any early complication within 90 days (hematoma, seroma, infection, wound problems); serious ones under 3%."},"contraindications":["Medical conditions making general anesthesia unsafe until optimized","Active smoking or nicotine use (relative; raises wound-healing risk)","Uncontrolled diabetes or coagulopathy (relative)","Active infection at the surgical site (defer elective surgery)","Pregnancy (elective surgery usually deferred)"],"days_in_clinic":{"min":0,"max":1,"unit":"nights","qualifier":"Usually same-day discharge after capsulectomy; an overnight stay is occasional."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light activity earlier; strenuous upper-body exercise typically after surgeon clearance."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Swelling resolves and breast position settles; depends on whether implants are replaced."},"fly_home_after_days":{"min":7,"max":10,"unit":"days","qualifier":"After drain removal and wound check; surgeon clearance and any drain or swelling issues move timing."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"From surgery; drain removal if drains used"}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":42,"unit":"days","qualifier":"From surgery"}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"From surgery"}}],"indications":["Symptomatic capsular contracture (Baker III–IV): pain, firmness, distortion","Implant rupture with capsule involvement or silicone migration","Calcified or thickened capsule at implant exchange","Chronic seroma or infection requiring implant and capsule removal","Suspected or confirmed BIA-ALCL or implant-associated cancer"],"main_risks":["Bleeding or hematoma","Infection","Seroma","Recurrence of capsular contracture","Pain, numbness or altered nipple sensation","Asymmetry or contour irregularity","Skin or nipple-areola compromise","Rarely, pneumothorax or chest wall injury with posterior capsule dissection","Scarring and need for revision","Risks of general anesthesia"],"pain":"Moderate soreness and tightness for the first several days, controlled with oral analgesics; usually settles over 1–2 weeks.","preparation":["Surgical consultation and review of implant history and records","Breast ultrasound or MRI, especially for suspected rupture or fluid","Medical clearance as needed","Stop nicotine products before surgery","Fasting before general anesthesia as instructed","Arrange transport home and help in the first days"],"recovery_timeline":[{"phase":"First 48 hours","description":"Rest, dressings or surgical bra, drains if placed.","restrictions":["No driving while on opioid analgesics","Avoid lifting"]},{"phase":"Weeks 1–2","description":"Swelling and bruising settle; return to light daily activity and desk work.","restrictions":["Avoid heavy lifting and arm overhead strain"]},{"phase":"Weeks 2–6","description":"Gradual resumption of activity; supportive bra as advised.","restrictions":["No strenuous upper-body exercise until cleared"]},{"phase":"3–6 months","description":"Swelling resolves and final contour is judged.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities; no formal rehabilitation program is typical."},"result_longevity":"Capsulectomy results are not permanent; contracture can recur, and implants, if replaced, may need revision or exchange after about 10–15 years. Without implants, the contour change is lasting.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Repeat surgery within 2–3 years, mainly for recurrent contracture, asymmetry or contour irregularity."},"scars":"Usually through the existing breast scar (inframammary, periareolar or other prior incision); a new or revised scar is possible. Scars mature over 6–12 months.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One operation; staged surgery is occasionally used."},"stages":[{"code":"capsulectomy_surgery","label":"Capsulectomy (total or partial) with implant removal or exchange","after":{"min":0,"max":0,"unit":"days","qualifier":"Day of surgery"}}],"qualifier":"Single-stage procedure for the usual benign indication."},"success":{"metric":"Freedom from capsular contracture recurrence","value":85,"unit":"percent of patients","horizon":"2 years","population":"Adults with Baker III–IV contracture undergoing total capsulectomy with implant exchange","evidence_status":"limited"},"techniques":[{"name":"Total capsulectomy (removal of the whole capsule, not necessarily intact)","suits_whom":"Usual approach for symptomatic or recurrent capsular contracture, calcification or rupture with implant removal or exchange.","recovery":"Same-day discharge usual; light activity in 1–2 weeks."},{"name":"Partial (anterior) capsulectomy","suits_whom":"Limited capsular thickening or contracture when the posterior capsule is thin or adherent to the chest wall.","recovery":"Similar or slightly quicker than total capsulectomy."},{"name":"Total intact capsulectomy","suits_whom":"Selected cases such as ruptured silicone implants or surgeon-preferred intact removal; technically more demanding.","recovery":"Slightly longer, with more drain and seroma risk."},{"name":"En-bloc oncologic capsulectomy","suits_whom":"Suspected or established implant-associated cancer (e.g. BIA-ALCL); not routine for benign contracture.","recovery":"Longer and managed with oncologic planning."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Bilateral total capsulectomy with implant removal or exchange; unilateral is shorter."},"initial_assessment_documents":["Front, side and oblique breast photos","Original breast implant operation report","Implant ID card with brand, size and type","Breast ultrasound or MRI report","Recent mammogram report","Pathology report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days until drain removal and wound check, then follow-up remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon discusses implant removal, implant exchange, and partial or total scar capsule removal","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety/bia-alcl-summary/frequently-asked-questions","host":"plasticsurgery.org","quote":"If you choose to have your breast implant(s) removed out of concern for BIA-ALCL, you should have a discussion with your surgeon about implant removal, implant exchange, and partial or total scar capsule removal.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Ask which capsulectomy risks apply to you, such as bleeding and wound complications","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety/bia-alcl-summary/frequently-asked-questions","host":"plasticsurgery.org","quote":"The risk of performing a capsulectomy includes, but is not limited to, bleeding and other wound complications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"If you are a reconstruction patient, ask about possible change of breast shape or loss of the reconstruction","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety/bia-alcl-summary/frequently-asked-questions","host":"plasticsurgery.org","quote":"For reconstruction patients, a capsulectomy could result in a change of shape to your breast or loss of the reconstruction.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Confirm the surgeon evaluates your health, pre-existing conditions, and risk factors","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal/consultation","host":"plasticsurgery.org","quote":"Evaluate your general health status and any pre-existing health conditions or risk factors","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Confirm the surgeon examines your breasts before recommending treatment","scope":"treatment_type","source":{"url":"https://www.plasticsurgery.org/cosmetic-procedures/breast-implant-removal/consultation","host":"plasticsurgery.org","quote":"Evaluate your general health status and any pre-existing health conditions or risk factors; Examine your breasts","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"The surgeon does not discuss implant removal, implant exchange, or partial or total capsule removal","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety/bia-alcl-summary/frequently-asked-questions","host":"plasticsurgery.org","quote":"If you choose to have your breast implant(s) removed out of concern for BIA-ALCL, you should have a discussion with your surgeon about implant removal, implant exchange, and partial or total scar capsule removal.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"The surgeon does not mention bleeding or wound complications as capsulectomy risks","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/patient-safety/breast-implant-safety/bia-alcl-summary/frequently-asked-questions","host":"plasticsurgery.org","quote":"The risk of performing a capsulectomy includes, but is not limited to, bleeding and other wound 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(seroma","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their 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behind.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"total-intact-capsulectomy","name":"Total intact capsulectomy","how_it_works":{"text":"The whole capsule is removed intact as one unit","source":{"url":"https://www.plasticsurgery.org/news/press-releases/breast-surgery-collaborative-community-issues-consensus-statement-on-breast-implant-capsulectomy-definitions-and-management","host":"plasticsurgery.org","quote":"Complete removal of the breast implant capsule as a single unit.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"en-bloc-oncologic","name":"En-bloc oncologic capsulectomy","how_it_works":{"text":"The capsule is removed with nearby uninvolved tissue for suspected implant-associated 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