TYPES OF POSTOPERATIVE AESTHETIC COMPLICATIONS AFTER BREAST ENDOPROSTHETICS (review of the leading researches)

Background. The digital indicators of the International Society of Aesthetic Plastic Surgery for 2018, 2021 and 2022 indicate a trend of steady increase in demand for breast endoprosthetics (augmentation mammoplasty) with various implants, in particular, in 2022 there was an increase in the number of transactions by 29% compared to 2021. However, in addition to the increase in demand for breast augmentation, there is also an increase in the number of postoperative aesthetic complications worldwide, in particular, specific to these interventions, malposition of implants in the long-term postoperative period. Aim: to review the leading researches on the types of postoperative aesthetic complications after breast endoprosthetics. Material and methods. The review of the leading researches was based on the identification of scientific publications devoted to the study of the specifics and features of surgical intervention in the cosmetic procedure of breast augmentation in the free search engine for biomedical research PubMed (from the US National Library of Medicine and the US National Institutes of Health), as well as in the open access search engine Google Scholar. As a result of the analytical search, the formed array of selected publications became the basis for a professional review of sources to determine the causes of postoperative specific aesthetic complications after breast endoprosthetics. Results. The review describes the pathogenesis of the main postoperative aesthetic complications that can develop after breast augmentation and presents the views of medical scientists on improving the breast augmentation procedure and preventing further complications. Conclusion. The effect of implants on the surrounding tissues, including muscles, has not been sufficiently studied. Prevention of malposition during breast arthroplasty with modern microtextured and smooth implants of the latest generation has not been sufficiently developed. Traditionally, the literature focuses on preventive measures to create an adequate implant pocket volume, prevent fluid accumulation around the prosthesis and biofilm formation. Therefore, breast endoprosthetics (augmentation mammoplasty) requires further improvements to prevent the possible occurrence and further development of any complications after surgical interventions during cosmetic procedures.