[Augmentation mammoplasty (author's transl)]

Three distinct methods have proved practicable: The dermafat-transposition (DeCholnoky), the skin flap procedures, and the retromammary implants. The motivation of the patient must be carefully balanced against various complications. Frequently a constrictive fibrosis impairs the primary pleasant shape, position, and consistency of the breasts soon or many years after implantation of soft polydimethylsiloxane material, due to phagocytosis and decomposition of plastic particles. Capsulotomy, capsulectomy, or squeezing of the implants can regain approximately the original good appearance, but does not solve the problem of continuous foreign body reaction. The malignancy risks require close follow-up examinations.