The main reason for the deformation of the implant after breast augmentation is the contracture of the fibrous envelope around the implant, which is the most common complication of breast augmentation. The contracture of the peri-implant can be divided into four grades according to Baker’s classification; grade I/II generally requires no special treatment, while grade III/IV requires reoperation. Patients with the original implant placed in the posterior glandular space should have the new implant placed behind the pectoralis major muscle. The new prosthesis should be of high quality, which is the key to reducing the contracture of the pericardium. A sufficiently large cavity needs to be separated during the surgical operation to avoid foreign body contamination of the prosthesis and the cavity. The trauma should be thoroughly hemostatic, with unobstructed drainage to prevent infection, blood or fluid accumulation in the cavity. Postoperative breast massage or static pressure can be performed to make the breast soft and natural and beautiful. In addition, some patients who have replaced their implants several times have experienced contracture of the envelope, so it is necessary to consider transplanting autologous tissue when operating again. Commonly used are autologous fat injection breast augmentation and myocutaneous flap with tip transfer and free transplantation. The effect of autologous fat injection breast augmentation is long-lasting and very safe, with realistic breast shape after surgery. However, it is limited by the survival rate after fat transplantation and the amount of the patient’s own fat, which usually requires 1-3 surgeries with at least 2-3 months between surgeries.