Objective. To study the positive and negative aspects, technical features and complications after breast augmentation with nanotextured implants.

Material and methods. We analyzed the results of augmentation mammoplasty and augmentation-mastopexy in 289 women (536 implants) with nanotextured implants (SmoothSilk surface, Motiva) for 5-year follow-up period. Ergonomix dynamically reshaping prostheses filled with Progressive Gel Ultima soft gel were used in 254 cases to give a more natural shape of the breasts. In 15 cases, we used Motiva Round implants with a harder Progressive Gel Plus gel to give a more rounded shape of the breast.

Results. Soft consistency and high elasticity of the implants made it possible to make an incision 2-3 cm shorter compared to correction with cohesive gel. Characteristics of nanotextured implant surface are similar to implants with smooth surface. These implants form a delicate, thin capsule and tend to move down within 6—12 months after surgery. Thus, the prostheses were placed in a higher position. We formed a pocket tightly attached to