The top five breast implant complications include capsular contracture, which is the hardening of scar tissue around the implant, causing discomfort and distortion. Implant rupture is another issue, where the implant tears or leaks, leading to deflation or shape changes. Rippling is another common complication, where wrinkles or folds in the implant become visible through the skin, especially in thinner individuals. Each of these complications may necessitate further medical intervention or corrective surgery.