Imaging of Breast Prosthesis

The most popular cosmetic surgery is breast augmentation worldwide.Breast implants have two types: single lumen or double lumen. Single lumen implants contains either silicone or saline.Capsular calcification, mild pericapsular fluid and folding are normal imaging findings. Some complications can occur early or late. Early post-surgical complications include infection and hematoma. Delayed complications are capsular contracture, implant rupture, and implant related malignancy. In imaging some features are indicative of breast implant tear (intra or extracapsular) and breast MRI is the best way for detecting implant rupture.Capsular contracture is the most common delayed complication noted in patients with smooth-walled silicone implant. BIA-ALCL is a type of lymphoma that can occur around breast prosthesis especially in implants with textured surfaces. This is a immune system cancer, not a type of breast cancer