The increasing prevalence of breast augmentation presents new challenges in breast imaging interpretation. Magnetic resonance imaging (MRI) is recognized as the gold standard for the evaluation of augmented breasts. This article reviews the MRI features of different breast augmentation techniques, their associated complications, and the role of MRI in the assessment of concurrent breast abnormalities.Teaching Points• MRI has the highest sensitivity and specificity for implant rupture detection.• MRI is able to discriminate the nature of implanted prosthesis or injected materials.• Sensitivity of cancer detection by MRI is not reduced through implants.

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