Women receive breast implants for both aesthetic and reconstructive reasons. This brief review discusses the evolution of and complications related to breast implants, as well as key considerations with regard to aesthetic and reconstructive surgery of the breast.
KEY POINTSNearly 300,000 breast augmentation surgeries are performed annually, making this the second most common aesthetic procedure in US women (after liposuction).Today, silicone gel implants dominate the world market, and in the United States, approximately 60% of implants contain silicone gel fi ller.Capsular contracture is the most common complication of breast augmentation, typically presenting within the fi rst postoperative year and with increasing risk over time. It occurs with both silicone and saline breast implants.Numerous studies have demonstrated the safety of silicone breast implants with regard to autoimmune disease incidence. However, the risk of associated anaplastic large-cell lymphoma must be discussed at every consultation, and confi rmed cases should be reported to a national registry.