Silicone breast implants have been used for augmentation mammoplasty f
or cosmetic purposes as well as for breast reconstruction following ma
stectomy for more than three decades. Though the use of the silicone g
el filled variety has been banned in the USA except for special cases,
they continue to be available elsewhere in the world including the UK
. Despite the immense benefit they provide, their usage is associated
with some complications. Most of these are related to the surgery and
can be reduced by good surgical management. The major complications as
sociated with their use is adverse capsular contracture, an outcome wh
ich can be very frustrating to manage. This article reviews the common
ly reported complications and suggested management alternatives.