Background: cosmetic breast procedures, as well as implants, are increasingly being performed and many women who had undergone cosmetic operation present for mammographic screening. There are three general categories of cosmetic surgery performed on the breast including breast augmentaion,breast reduction and breast reconstruction. A wide variety of breast implants which being used in most of augmentation surgeries are available on the market and are broadly categorized by lumen number, filler type, and surface contour. Aim of the work: this study aimed to illustrate the role of different imaging modalities in postoperative cosmetic breast surgery. Results: MRI is the modality of choice for evaluation of silicone breast implant integrity. MRI is not recommended as a screening modality for implant rupture in asymptomatic women with breast implants. Conclusion: Since the number of cosmetic breast surgeries is increased with increased number of patients present for assessing the operation as example; implant integrity; a radiologist should be familiar with the spectrum of appearances of the complications. The imaging appearances of the cosmetic breast as common breast implants and their complications using different radiological modalities as mammogram, ultrasound and MRI are varied. Recommendations: In symptomatic patients, after an initial evaluation with mammography and USG, nonācontrast MRI is recommended to rule out the diagnosis of rupture. Dynamic contrastāenhanced MRI could be indicated in patients with breast reconstruction surgeries after mastectomy for breast cancer or in breast implant patients with suspicious masses.