Six procedures, one practice. Every patient arrives with a different body, different history, and different goals — Dr. Baley will tell you exactly what he recommends for yours. And why.
For women who want their implants removed — completely, safely, permanently.
Explant surgery is not a minor procedure. The way it's performed determines whether you're truly done with your implants — or whether you carry residual capsule tissue, incomplete removal, or unreported pathology 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. This is the gold standard for patients with BIA-ALCL concerns, significant capsular contracture, or documented rupture. Not every surgeon can perform true en bloc removal. It requires specific training and substantial case volume.
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. Results reviewed with you directly, not filed and forgotten.
Explant is not just removal. Natural tissue reshape and recontouring is included in the procedure. The goal is a result that looks and feels intentional — not the aftermath of an extraction. Most patients are pleasantly surprised by how the breast settles over the first 3–6 months.
Remove your implants. Restore volume using your own body. No foreign material — ever again.
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 that's biologically yours, without any implant whatsoever.
This is not the same as a breast augmentation. Fat grafting restores lost volume and improves contour after implant removal. 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 procedure — one surgery, two outcomes.
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.
2 confirmed BIA-ALCL cases in over 400,000 implants placed globally. Proprietary protocol. Only available 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.
Of the over 400,000 Polytech PU implants placed globally, 2 confirmed BIA-ALCL cases have been reported in the medical literature. For comparison, the textured implants linked to most BIA-ALCL diagnoses have rates of 1 in 2,000 to 1 in 86,000 depending on surface type.
The polyurethane surface integrates with surrounding tissue, virtually eliminating implant rotation and displacement — two of the most common reasons for reoperation with standard smooth-shell implants. Polytech implants hold CE marking under EU MDR 2017/745 and are available in 60+ countries.
They are not available in the United States or Canada — not due to safety concerns, but 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.
Standard implant exchange simply swaps one implant for 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 using Dr. Baley's proprietary incision protocol — minimizing visible scarring and maximizing long-term symmetry.
The addition of fat grafting is not cosmetic. It improves implant coverage, reduces palpability, and gives the breast more natural movement and feel — the quality that distinguishes this result from the "obviously augmented" look of older placements.
Primary or repeat. Brand-agnostic. Guided by your anatomy and your goals.
Breast augmentation at reBreast is not a one-size-fits-all procedure. Whether this is your first augmentation or you're returning after an explant and want to start fresh with the best available options, Dr. Baley's approach is the same: a thorough assessment of your anatomy, honest discussion of what each implant family offers, and a recommendation based on your anatomy and goals — not a preferred manufacturer's catalog.
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 with a clear rationale, not a default.
The rePlantation® protocol specifically uses Polytech polyurethane implants — chosen for their lower capsular contracture rate (due to the polyurethane surface integration with surrounding tissue) and the availability of the B-Lite option, which weighs 30% less than standard silicone. This is a protocol decision based on specific clinical evidence, not a brand preference.
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.
Clinical photography added as consents are received.
Reduction mammoplasty — for women whose breast size is limiting their life, not enhancing it.
Breast reduction is one of the highest-satisfaction procedures in plastic surgery — because it addresses a real, functional problem. 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.
No implants are involved. This is comprehensive reshaping of the breast using your existing tissue — removing excess glandular tissue, fat, and skin, and repositioning the breast 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 honestly 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, not an add-on.
Clinical photography added as consents are received.
For women whose breast position has changed — not their size. Restore shape, restore confidence.
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 more youthful 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 — not a preferred default.
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.
Clinical photography added as consents are received.
Book a free virtual consultation. Dr. Baley reviews your history, your imaging, and your goals — and gives you an honest assessment. No coordinators, no pressure, no agenda.
