Management of breast implant malposition. Literature review

Abstract

Breast augmentation mammoplasty (BAM) remains the most common surgical procedure for women. According to ISAPS data, 1685471 women underwent BAM in 2021. At the same time, there is a high percentage of reoperations after primary breast augmentation, including breast implant malpositions (BIM): 4.7 %-5.2 % after primary BAM and approximately 10 % after revision BAM. These statistics refer only to severe BIM, which causes significant changes in the shape and contour of the breast and makes it look ugly. If all degrees of BIM severity are taken into account, its incidence may be much higher. The tendency of a foreign body to dislocate is a common medical problem. Implants are no exception, especially since their fixation cannot be recognized as absolute. Therefore, BIM is, to some extent, an expected complication.