This paper presents a novel architecture for realizing the synchronized-switch-harvesting-on-capacitors (SSHC) technique used for enhanced energy extraction from piezoelectric transducers. The proposed architecture allows full integration by utilizing the storage capacitor already present in most energy harvesting systems. A promising circuit implementation of the technique, named multilevel synchronized-switch harvesting on capacitors (ML-SSHC), is proposed as well, and its performance is analyzed theoretically. On the basis of that, a fully integrated and power-efficient transistor-level design in 0.18-µm CMOS is presented and fabricated in a prototype chip. When operating at a mechanical excitation frequency of 22 Hz and delivering between 1.51 µW and 4.82 µW, the measured increase in extracted power is 7.01× and 6.71×, respectively, relative to an ideal full-bridge rectifier. While the performance is comparable to the state-of-the-art, this is the first implementation allowing full integration at such low frequencies without posing special requirements on the piezoelectric harvester.