In recent years, there are a lot of media propaganda about autologous fat transfer breast augmentation, and some doctors are also highly recommending this method, using the terms “one-shot”, “painless”, “immediate effect The terms used are “one-shot”, “painless”, “instant”, “no surgery”, etc., which can be described as seductive and have a strong impact on the majority of women who love beauty. Is autologous fat transfer breast augmentation really so perfect as described in the advertisement? Actually not! Theoretically speaking, autologous fat transfer breast augmentation is a more ideal breast augmentation method, because the tissue comes from itself, so there is no problem of immune rejection, and the operation process (note: it is also a kind of surgery, not “no surgery” as described in the propaganda) is indeed relatively simple and the effect is immediate. However, there are still some outstanding problems with autologous fat transplantation for breast augmentation, the most prominent one being the high absorption rate, which is reported in the literature to be as high as 80%. So why is the absorption rate so high? What happens to the absorbed fat? Fat cells are fragile cells that require a very high blood supply, and the transplanted fat particles, especially the central part, have difficulty in establishing a blood supply immediately, followed by central liquefaction and necrosis, at which point infection can easily occur, followed by the repair process of the body, in short, fibrosis, which turns into hard nodules, or even calcification. The most serious problem is that such hard nodes can be easily confused with breast tumors, and it is difficult to differential diagnosis. In fact, cosmetic injection is a very good technology, but several major public health incidents have made people suspicious of it, liquid paraffin, liquid silicone, Ingelfahrer, Omniderm, etc., bringing too much pain to women who love beauty, physically and psychologically, are difficult to repair and regret for life. One of my patients once said that she made a wrong decision at the wrong place at the wrong time and had a wrong surgery, and her life trajectory was completely different as a result, which is saddening. In recent years, autologous fat transplantation has made great progress, but because the threshold of entry for this kind of surgery is relatively low, many institutions are promoting it, which has also produced many complications, such as high local absorption rate, hard nodes and infection in the lighter cases, and vascular embolism in the heavier cases, leading to local skin necrosis, blindness, cerebral infarction and even death, so in order to do this kind of surgery, you must go to a regular hospital with experienced doctors to perform it. To date, the most safe and reliable breast augmentation technology or implant surgery, the internationally renowned breast implants can now be said to be very mature technology, whether it is the appearance, or feel, or tissue compatibility, the FDA also specifically for the risk of autoimmune diseases or tumors induced by prosthesis conducted careful scientific research, found that there is no such problem, can be used in the field of cosmetic surgery. The implant surgery itself is a less invasive procedure, and for oriental people, a small incision in the armpit or areola is acceptable.