Procedure information
The six breast procedures Dr. Baley performs
Each patient arrives with her own anatomy, history, and goals. Dr. Baley will tell you which procedure he recommends for you and why.
Each patient arrives with her own anatomy, history, and goals. Dr. Baley will tell you which procedure he recommends for you and why.
For women who want their implants removed for good.
Explant surgery is a major procedure. The way it's performed determines whether all implant and capsule tissue comes out, or whether residual capsule tissue, incomplete removal, or unreported pathology stay with you for years. Dr. Baley approaches every explant with the same protocol, whether the implants are 2 years old or 20.
The implant and the surrounding capsule are removed together as a single, intact unit, without rupturing the capsule or leaving tissue behind. It is the preferred approach for patients with BIA-ALCL concerns, significant capsular contracture, or documented rupture. En bloc removal requires specific training; ask any surgeon you consult how they perform it.
The implant is removed first, followed by complete excision of the capsule. Appropriate for most patients seeking standard explant. All capsule tissue is removed and sent for pathology analysis, and Dr. Baley reviews the results with you directly.
Explant includes shaping what remains. Natural tissue reshape and recontouring is included in the procedure. The goal is a result that looks and feels intentional. The breast settles over the first 3–6 months.
Your implants come out, and your own fat restores volume.
Fat grafting allows Dr. Baley to harvest fat from another area of your body (typically the abdomen, flanks, or thighs) and transfer it to the breast in the same procedure as the explant. The result is natural volume from your own tissue, with no implant.
Fat grafting restores lost volume and improves contour after implant removal; it gives less volume change than an implant augmentation. Results are softer, more natural in movement, and permanent once the graft stabilizes.
Liposuction is performed first to harvest fat cells from the donor site. The cells are processed and purified, then carefully injected into the breast tissue in multiple small passes to maximize graft survival. Implants are removed in the same operation.
Because the donor site requires liposuction, reshaping of the abdomen, flanks, or thighs is included as part of the procedure. Patients frequently note the improvement in the donor area as a secondary benefit. The exact harvest site is decided collaboratively with Dr. Baley based on your anatomy and goals.
For patients who want more volume than a single procedure can safely deliver, staged fat grafting (a second session 4–6 months after the first) achieves a fuller result while preserving graft survival rates.
Dr. Baley's protocol combines a polyurethane-coated implant with fat grafting in one operation. It is available only outside the United States.
rePlantation™ is a proprietary protocol developed by Dr. Baley for patients who want to maintain projection but are done with the risks of conventional silicone implants. It combines explant surgery with placement of a Polytech polyurethane implant and targeted fat grafting in a single procedure.
BIA-ALCL with polyurethane-coated implants is reported as rare in the literature; ask Dr. Baley for the current data during your consultation.
The polyurethane surface integrates with surrounding tissue, virtually eliminating implant rotation and displacement. Polytech implants hold CE marking under EU MDR 2017/745.
They are not available in the United States or Canada because the FDA approval pathway for the polyurethane surface has not been pursued for the US market. This is the primary reason patients travel to Mexico City for this procedure.
A standard implant exchange replaces one implant with another. rePlantation™ addresses the whole breast: the old implant and capsule are removed, the pocket is rebuilt, fat is added for natural contour and coverage, and the new implant is placed through Dr. Baley's incision protocol to limit visible scarring and support long-term symmetry.
Fat grafting has a clinical role here. It improves implant coverage, reduces palpability, and gives the breast more natural movement and feel, so the breast looks and moves more like natural tissue.
First or repeat augmentation, with the implant brand chosen for your anatomy and goals.
Dr. Baley plans each augmentation around the patient. Whether this is your first augmentation or you're returning after an explant, he assesses your anatomy, explains what each implant family offers, and recommends one based on your anatomy and goals.
Dr. Baley works with Polytech, Motiva, Mentor, and Eurosilicon, a representative range of the clinically supported options available in Mexico City. The right implant depends on your chest wall anatomy, existing breast tissue, desired projection, and long-term goals. No single brand is appropriate for every patient. You will receive a recommendation and the reason for it.
The rePlantation™ protocol specifically uses Polytech polyurethane implants, chosen for capsular contracture rates reported as lower in Polytech's registry data (attributed to the polyurethane surface integrating with surrounding tissue) and the availability of the B-Lite option, a lighter gel option. This is a protocol decision based on specific clinical evidence.
For primary augmentation, where capsular contracture history, BII concerns, and implant exchange aren't the driving factors, other manufacturers may be equally or more appropriate depending on your anatomy and aesthetic goals. Dr. Baley will explain the reasoning behind whatever he recommends.
Reduction mammoplasty for women whose breast size causes pain or limits activity.
Macromastia (overly large breasts) causes chronic back and neck pain, postural strain, deep bra-strap grooves, skin irritation under the breast fold, and difficulty exercising. For many patients, it has been a physical limitation for years, if not decades.
The breast is reshaped with your own tissue, without implants: excess glandular tissue, fat, and skin are removed, and the breast is repositioned for a result that is proportionate, lifted, and comfortable.
One of the most common concerns about breast reduction is nipple sensation and breastfeeding potential. Modern reduction techniques prioritize nerve preservation. Dr. Baley uses pedicle techniques that maintain the nerve supply and blood supply to the nipple-areolar complex, preserving both sensation and the potential for breastfeeding where anatomy allows. The outcome depends on your specific anatomy and degree of reduction required, and this will be discussed during your consultation.
Reduction and mastopexy (breast lift) are frequently combined. In most reduction cases, repositioning of the nipple-areolar complex and reshaping of the breast envelope are included as part of the procedure, so the aesthetic lift is an inherent part of the outcome.
For women whose breast position has changed while their size has stayed the same.
Mastopexy (breast lift) reshapes and repositions the breast without adding or removing significant volume. It addresses ptosis (breast drooping caused by pregnancy, breastfeeding, weight loss, or time) by removing excess skin, reshaping the breast tissue, and lifting the nipple-areolar complex to a higher position.
This procedure does not change your bra cup size meaningfully. If you want to also increase volume, a simultaneous augmentation can be combined. If you want to reduce volume as well as lift, a reduction mastopexy achieves both in one procedure. The right combination depends on your specific anatomy and what you want to achieve.
The incision pattern depends on the degree of ptosis and how much skin needs to be removed. Dr. Baley selects the appropriate technique based on your anatomy.
A lift can be performed simultaneously with augmentation (adding volume) or reduction (removing volume). Combining procedures in a single operation has efficiency advantages: one anesthesia, one recovery. Dr. Baley will advise whether a staged or combined approach is appropriate for your situation.
Schedule a video consultation. Dr. Baley reviews your history, your imaging, and your goals, and gives you a clear assessment.
