Objective. To review available data on complications associated with silicone breast implants, as well as methods of their prevention and correction.

Material and methods. The PubMed, Google Scholar, Scopus, Cochrane, eLibrary databases were reviewed. The following keywords were used: “complications of breast enlargement”, “capsular contracture”, “double bubble breast deformity”, “waterfall breast deformity”, “implant rippling”, “breast implant palpability”, “implant malposition”, “symmastia”, “implant visibility”. After reading the abstracts, full-text Russian- and English-language articles published between 1990 and August 2023 were studied.

Results. One should consider features of soft tissues forming the implant pocket, mammary parenchyma, characteristics of silicone implant and its distribution affecting surrounding tissues to prevent and correct appropriate complications.

Conclusion. Widespread use of silicone breast implants increases the number of complications associated with these medical devices. Currently, there is no systematization of algorithms for correction of complications associated with silicone implants due to large number of different approaches to their elimination.

Keywords. complications after breast augmentation, capsular contracture, implant malposition, waterfall breast deformity, double bubble breast deformity, implant rippling, implant visibility and palpability, symmasty