After breast augmentation, most patients are under great psychological pressure, while a considerable number of patients often have no localized discomfort in their breasts. Therefore, they are hesitant and indecisive in deciding whether or not to have the injected material removed. As a clinician specializing in breast plastic surgery, after witnessing the many complications of breast augmentation (such as displacement, infection, breast lumps, etc.) and the shocking shape changes when the injected material is removed, I feel that on the one hand, it is necessary to educate the patients about the relevant knowledge, and on the other hand, as a surgeon, we need to improve our own surgical skills, and remove the injected material as much as possible under the circumstance of minimizing the trauma of the surgery, so as to avoid the patients suffering from the pain of a second operation. On the other hand, as a doctor, we should improve our own surgical skills and remove as much injectable material as possible in a single operation with minimal trauma, so as to avoid the pain of secondary surgery for the patient. The minimally invasive method of removing injectable material for breast augmentation that I am currently doing includes the following steps: 1. Small incision: I do not advocate the use of aspiration of the gel because it is often not possible to remove all of the gel, and it is not possible to deal with the common gel nodules and inflamed fascial tissue. I tend to choose a small incision of about 3 centimeters at the edge of the areola or lower crease to go straight to the gel site. The small incision in the lower crease is mainly used for younger patients who are likely to breastfeed in the future and whose preoperative examination shows that the gel is distributed in a single lumen, with mild fasciitis of the surrounding tissues, and no obvious gel nodules to be treated. The areola incision is suitable for patients who have already given birth. As there are mostly gel cavities under the incision, some complicated situations such as fasciitis tissue and gel lumps can be dealt with under direct vision, avoiding the risk of uncontrolled bleeding under blind vision. 2, intraoperative treatment: if the gel is in gel-like semi-liquid state, first directly squeeze out most of it from the small incision, and then rinse it repeatedly with chiropractic saline, use the properties of gel dissolved in water to suck out the remaining part, and then finally use the endoscope or finger to check whether there is any gel cavity separation, and if there is any, then remove the gel in the separated cavity to avoid the residue. For patients with severe pectoralis major fasciitis, I tend to use the suction tip of a soft suction device for careful scraping, and because I often encounter small perforated blood from the pectoralis major muscle, I have to carefully electrocoagulate and stop the hemorrhage while scraping the inflamed fascial tissue. For patients with gel mass, I usually remove it as much as possible, on the one hand, for the purpose of exhausting the hydrogel, and at the same time, to prevent the mass from being confused with the real breast tumor in the future, which will affect the diagnosis and treatment of the breast disease, of course, some patients will have a significant reduction in the volume of the breast after removing the gel mass, and the need to place an implant will depend on the following article. 3.Whether to place the prosthesis at the same time of surgery: this question is more common. A part of the patients firmly resist breast implant out of fear of the implanted material; a part of the patients firmly demand the implant to be placed in one stage out of fear of the destruction of the breast shape. In fact, both of these views are incorrect. First of all, breast implant is the safest and most reliable material for breast augmentation in the world, so we should not reject the implant because of the fear of hydrogel, and then we will lose the opportunity to restore the normal shape of the breasts. On the other hand, not all patients are suitable for one-stage placement of implants, for the gel has been denatured or infected, local fasciitis serious patients, I do not advocate the immediate placement of the implant, remove the gel six months to one year after the operation to consider safer, because once the infection occurs, it is often very difficult to control, and ultimately need to remove the implant once again surgically. 4, postoperative treatment: generally in the cavity to leave a fine drain, chest compression bandage, drain tube removed about 3 days after surgery. Overall, personal experience: as long as the small incision, under direct vision, full removal, complete hemostasis, placement of drainage, pressure bandage and other key points to grasp, basically can obtain satisfactory results, I hope that patients and friends have a certain degree of help.