[Management of complications and unsatisfactory results of aesthetic mammary augmentation by implants]

Complications of breast implants are rare in regard to the morphological and psychological benefits induced by this intervention. The main complications are; hematoma, infection, seroma with the absolute necessity to look for anaplastic large cell lymphoma associated with breast implants and capsular contracture. Apart from complications, the plastic surgeon may be faced with a bad result, from his surgery or after an intervention realised by a colleague. It is most often a malposition of the implant, primary or secondary ptosis of the breast. The rupture of the implant membrane is inevitable in the more or less long term and raises the problem of supervision and implants changes that will be expected in a very variable time. The author recalls the elements of diagnosis of complications or defects of aesthetic result and the conduct to take to avoid or treat them.