Sutura ¿Qué otro nombre tiene la herida? (Suture. What other name is there for a wound?)

Project of denunciation, a dialogue with the testimonies of Venezuelan women who have had their breast implants removed in recent years, denoting their widespread use, the cult of beauty, and the violence and power exercised over the body

The tension between symbolic violence and power exercised over the body, so prevalent in today's world, is sutured with the paradox of an era marked by obsession and the cult of beauty. In this context, the body is configured as a cultural fact and stands as one of the symbols of merchandise par excellence.


This critical analogy is particularly evident in the widespread use of silicone implants, whose background is not only symbolic but also immunological. ASIA syndrome, described by Shoenfeld in 2011, shows how these adjuvants can trigger systemic reactions: chronic inflammation, autoantibody production, and an increased risk of serious diseases, with explantation being the only possible remedy. What is offered as a promise of beauty ends up, in many cases, becoming a “wound.”


According to the Venezuelan Society of Plastic Surgery, in 2011, 40,000 women in Venezuela received breast implants each year. These figures were further highlighted by the case of French PIP implants, which were withdrawn from the market due to their high potential for rupture and were widely used in our country (BBC, 2011; El Mundo, 2011). By 2013, 85,000 breast implants had been performed in Venezuela, according to the International Society of Plastic Surgery (Primera hora, 2014).

According to the FDA (Food and Drug Administration), one in five patients who receive breast implants have them removed after 10 years due to complications such as ruptures, deflation, or leakage, and painful contraction of the scar tissue around the implant, known as capsular contracture. And this number of injuries has been increasing: from 4,567 in 2017 to 8,242 during the first half of 2018 (Infobae, 2018).

The project is configured as a form of denunciation, a space where the work establishes a dialogue with the testimonies of those who have experienced these bodily transformations. Their stories allow us to perceive in a tangible way how these interventions affect not only the surface of the body, but also its biology and subjective experience: the feeling of vulnerability, the systemic effects, the physical and emotional scars, which are not simple individual accidents, but expressions of a social and aesthetic logic that prioritizes appearance over the integrity of the body.

In this way, “the wound” is no longer just physical: it is cultural, political, and economic, reminding us that no transformation is superfluous and carries with it the weight of a transaction, testimony to the control, intervention, and exploitation of the vitality of a body inscribed in a system that produces beauty at the expense of the lived and the biological.

* By definition, Adjuvant-Induced Autoimmune/Inflammatory Syndrome (ASIA), also known as Shoenfeld Syndrome, encompasses various autoimmune conditions and phenomena induced by exposure to elements or substances with adjuvant activity. Its manifestations include myalgia, arthralgia, endocrine disorders (such as diabetes, thyroiditis, ovarian failure, etc.), chronic fatigue, and dry mouth, as well as neurological manifestations: cognitive impairments, memory loss, and neurological disabilities (López-Loyo, 2025).

Eva Pintiado Rapado/Freisy González Portales

© Freisy González Portales - Broken implant (PIP) of Yurimara Amundaraín, replaced in 2007
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Broken implant (PIP) of Yurimara Amundaraín, replaced in 2007

© Freisy González Portales - Image from the Sutura ¿Qué otro nombre tiene la herida? (Suture. What other name is there for a wound?) photography project
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Andreina Arriojas, 44 years old, from Caracas. Implanted in 2004. Explanted in 2023.Andreína looks at herself in the mirror while I photograph her. The reflection shows the recent stitches from her implant removal surgery.Andreína is a psychologist.

© Freisy González Portales - Projection and volume calculations for breast implants, by Surgeon Juan Carlos Blanco. Photo transfer on silicone.
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Projection and volume calculations for breast implants, by Surgeon Juan Carlos Blanco. Photo transfer on silicone.

© Freisy González Portales - María Machado's explant surgery, performed by surgeon Andrés Ocando in July 2025.
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María Machado's explant surgery, performed by surgeon Andrés Ocando in July 2025.

© Freisy González Portales - Image from the Sutura ¿Qué otro nombre tiene la herida? (Suture. What other name is there for a wound?) photography project
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Implants removed from María Machado during explantation surgery, with surgeon Andrés Ocando in July 2025.Photo transfer on embossed aluminum plate

© Freisy González Portales - Breast Implant Catalog
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Breast Implant Catalog

© Freisy González Portales - Detailed and chronological list of the symptoms of Yurimara Amundaraín's Asia Syndrome.
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Detailed and chronological list of the symptoms of Yurimara Amundaraín's Asia Syndrome.

© Freisy González Portales - Image from the Sutura ¿Qué otro nombre tiene la herida? (Suture. What other name is there for a wound?) photography project
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Anchor suture by Marisela Izquierdo, during the recovery process after her breast implants were removed. Self-portrait of Marisela.Photo transfer on embossed aluminum plate.

© Freisy González Portales - Image from the Sutura ¿Qué otro nombre tiene la herida? (Suture. What other name is there for a wound?) photography project
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Elena Marín, 39 years old, from Carupano. Implanted in 2013. Explanted in 2023.Elena shows me her scars at her home while we talk.Elena is an actress and singer.

© Freisy González Portales - Image from the Sutura ¿Qué otro nombre tiene la herida? (Suture. What other name is there for a wound?) photography project
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Women waiting in line and being checked in at the plastic surgery unit of the University Hospital of Caracas.Photograph taken by Keiber Franco on one of the days she went to her consultation to have her implants removed. This is one of the few public facilities where these procedures are performed.Next to a portrait of Yurimara Amundaraín after having her implants removed by surgeon Andrés Ocand

© Freisy González Portales - Breast implants and tags belonging to Elena Marín, 39, from Carupano. Implanted in 2013. Removed in 2023.
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Breast implants and tags belonging to Elena Marín, 39, from Carupano. Implanted in 2013. Removed in 2023.

© Freisy González Portales - Image from the Sutura ¿Qué otro nombre tiene la herida? (Suture. What other name is there for a wound?) photography project
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Deposit of heavy metals and implants.Breast implants contain around 19 heavy metals.Photo transfer on embossed aluminum plate.

© Freisy González Portales - Image from the Sutura ¿Qué otro nombre tiene la herida? (Suture. What other name is there for a wound?) photography project
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Silicon stones, which are extracted from heavy metal deposits, have uses even in the technology industry.Breast implants contain around 19 heavy metals in their composition.

© Freisy González Portales - Image from the Sutura ¿Qué otro nombre tiene la herida? (Suture. What other name is there for a wound?) photography project
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Soraya Reyes, 66, from Caracas. She had implants in 2002. They were removed in 2020.Soraya combs her hair while I visit her at home and we talk about implants and their removal.

© Freisy González Portales - Detailed and chronological list of the symptoms of Asia Syndrome by Marisela Izquierdo
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Detailed and chronological list of the symptoms of Asia Syndrome by Marisela Izquierdo

© Freisy González Portales - Image from the Sutura ¿Qué otro nombre tiene la herida? (Suture. What other name is there for a wound?) photography project
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Keiber Franco, 53, from Caracas. Implanted in 2007. Explanted in 2023.Keiber plays with his hair and dances while I photograph him.Keiber is a holistic sex counselor.Photo transfer on embossed aluminum plate.

© Freisy González Portales - Image from the Sutura ¿Qué otro nombre tiene la herida? (Suture. What other name is there for a wound?) photography project
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Anatomopathological report on Marisela Izquierdo's capsules.The capsules are scar tissue around the implant, which must be completely removed during explantation. They are sent for analysis to rule out the presence of bacteria, cancer, among other things.Phototransfer on silicone

© Freisy González Portales - Image from the Sutura ¿Qué otro nombre tiene la herida? (Suture. What other name is there for a wound?) photography project
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Elena Marín lets her hair flow freely at home while I photograph her.Elena imitates Spanish singer Isabel Pantoja.Having her implants removed represents a challenge in the entertainment world, which even leads to Elena receiving less money than other women who do have implants or other surgeries on their bodies.

Sutura ¿Qué otro nombre tiene la herida? (Suture. What other name is there for a wound?) by Freisy González Portales

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