Silicone breast prostheses implantation and explanation.

Breast implants have been used for augmentation and reconstruction for a 30-year period. Standard techniques have been used for the successful placement of mammary prostheses to enhance or replace breast tissue. All breast implants are surrounded by a capsule. The most common complication of breast implant surgery is hardening and contracture of the capsule. Explanation of implants is indicated for implant rupture, infection, extrusion, siliconoma, breast pain, painful capsular contracture, malposition, significant patient fear, and systemic symptoms thought secondary to implants. A number of alternatives are available for postexplant reconstruction, including myocutaneous flaps and free tissue transfers.