Unfavorable results after breast reconstruction with silicone breast.

Failures in breast reconstruction were related to the following factors: 1. Radiation damage to the skin was underestimated. 2. Skin coverage and subcutaneous padding was insufficient. 3. Undermining of the skin towards the back and abdomen was too wide or too narrow. 4. The inframammary fold was not fixed (especially when using cortisone and Hartley-prostheses). 5. The size of the implant was estimated incorrectly. 6. When areola was transplanted at the same time as the augmentation mammaplasty it was found to be always too high or too lateral. 7. Location of the areola was measured exactly in centimeters instead of estimated by eye. 8. Retransplantation of the preserved areola (from the groin) was followed by depigmentation. 9. Filling up the groove of the missing pectoral muscle remains a problem. 10. Capsule formation and dislocation of the silicone implant remains a problem.