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Breast Implant Illness
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Dr. Isaac Baley, consultation
Questions & answers

Frequently Asked Questions

Answers to the questions patients ask most.

All questions

All questions

Safety & The Hospital

Hospital ABC Santa Fe holds JCI accreditation. It has a CAP-accredited pathology laboratory and private rooms for every patient.

BIA-ALCL is a rare lymphoma associated primarily with textured breast implants. It is distinct from breast cancer. Allergan voluntarily recalled all BIOCELL textured implants in 2019. Over 90% of cases, when manufacturer history is known, involve that specific surface. If you have textured implants, a specialist evaluation is worthwhile even without symptoms. Dr. Baley performs complete capsulectomy and sends all tissue to pathology as standard practice. See BIA-ALCL explained.

BII describes systemic symptoms (fatigue, brain fog, joint pain, hair loss) reported by patients with breast implants. Dr. Baley evaluates each case individually. Read more about BII →

Procedures

En bloc means removing the implant and capsule as a single intact unit. It is recommended when malignancy is suspected and preferred by many patients with BII concerns. Not everyone requires it; the right approach depends on capsule condition, implant history, and symptom presentation. Dr. Baley will assess your specific situation and give you a clear recommendation during your consultation.

Yes. Dr. Baley performs primary breast augmentation for patients who have never had implants, as well as repeat augmentation for those who have had a prior explant and want to consider new implants. He works with multiple manufacturers (Polytech, Motiva, Mentor, and Eurosilicon) and recommends based on your anatomy and goals. The rePlantation™ protocol specifically uses Polytech PU for clinical reasons: lower capsular contracture rates reported in Polytech's registry data and the B-Lite weight option.

Yes. Breast reduction (reduction mammoplasty) is part of Dr. Baley's full-spectrum practice. It addresses macromastia: excessively large breasts that cause back and neck pain, posture problems, skin irritation, and physical limitation. No implants are used. The procedure reshapes the breast comprehensively, with preserved sensation and breastfeeding potential where anatomy allows. A mastopexy (breast lift) can also be combined with reduction depending on your goals.

Logistics & Travel

Plan for 7–10 days in Mexico City. Most patients are cleared to fly 5–7 days post-op, after a final pre-departure visit with Dr. Baley. Drains are removed before you leave. Expect 2–3 weeks of limited activity once you're home.

Many patients travel alone, and it is manageable and well supported. The Hyatt House is connected to the hospital by sky bridge, so you never need to navigate unfamiliar streets post-operatively. Dr. Baley's team stays in contact throughout your stay and coordinates any additional support you need. A companion for the first 2–3 days of recovery makes you more comfortable. If traveling alone, we plan your support accordingly.

Recovery varies by procedure. For a standard explant: most patients feel well enough to move around on day 2–3, cleared to fly on day 5–7, return to desk work within 1–2 weeks at home, and light activity at 4–6 weeks. For explant + fat grafting or rePlantation™, add 2–3 days to the on-site recovery window. All patients receive video follow-up at 2 weeks, 6 weeks, and 6 months post-op. During the first year, you can message Dr. Baley's office with any question.

Yes, and we encourage it. Your companion is welcome at the pre-op meeting, at the hospital, and at the Hyatt House. Having someone with you makes recovery easier, and in Mexico City there's plenty to keep them comfortable while you rest. Santa Fe has a lot within reach: Parque La Mexicana, Nobu, Sonora Grill, and Centro Santa Fe are all within walking or short driving distance.

Cost & Access

US and Canadian coverage varies. Some plans cover explant when medically indicated: BIA-ALCL, confirmed rupture, severe capsular contracture. Most classify it as elective for BII. We provide full surgical documentation and pathology reports that can support your insurance claim.

Yes. Through the AesthetiCare program, operated by BeeSure and issued by Pan American Life Insurance Group, you can add insurance that covers complications of your surgery. It is optional and covers international patients. The policy is contracted at least 48 hours before surgery and runs for 45 days after it; if a covered complication appears in that window, protection extends up to 365 days to treat it. Breast procedures fall in the program's medium-complexity tier, with sums insured of 200,000 to 600,000 MXN; as published by AesthetiCare in September 2026, the premium for that tier runs from about 4,000 to 8,500 MXN including VAT, depending on the sum insured and on whether one or several procedures are covered in the same surgery. You pay the premium directly to the insurer, and covered medical expenses are paid to the treating provider whenever possible. Dr. Baley's office quotes it with your surgical plan and walks you through the policy terms.

Polytech polyurethane implants are German-engineered and certified under EU MDR Class III, the highest-risk device class in the European system. Polytech has not pursued FDA approval for the US market. Access to this technology is the primary clinical reason patients travel to Dr. Baley for rePlantation™, his proprietary protocol combining implant replacement with autologous fat transfer.

Cost depends on the procedure, the implants if any, and how complex your case is, so we do not publish a single price. After your video consultation, Dr. Baley's office sends you a written quote. Fees at Hospital ABC Santa Fe are all-inclusive: anesthesia, hospital, and post-op care. Optional complications insurance can be quoted in the same document.

That's one of the most common procedures here: explant with natural tissue recontouring. Dr. Baley will recommend what fits your goals and anatomy, and plain explant is a complete option.

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