The main manifestation of aging implants after breast augmentation is the leakage or rupture of the implants. For the commonly used silicone gel implants, most of the leakage or rupture results in hardening and deformation of the breast, with a few cases of displacement, breast reduction or pain. In addition, the duration of implant retention is positively correlated with the occurrence of leakage or rupture. Leakage of silicone gel implants can continue to exacerbate the irritation of surrounding tissues over time, accelerating the formation of fibrous envelopes and contractures. When the contracture reaches grade III or higher, reoperation is required to remove the aging prosthesis. The pericardium should be removed or mostly removed during reoperation, and a high-quality prosthesis should be reinserted. If the implant is ruptured, the ruptured implant and exudate should be thoroughly removed from the peeled cavity and rinsed out repeatedly. If reinsertion of the breast implant is required, a new implant should be placed after 3 to 6 months. Some studies have reported higher complication rates after implant replacement, so a safer autologous tissue graft can be considered for reoperation. Autologous fat is often taken from the abdomen, thighs, and buttocks, and can be used to shape the breast while turning it into a treasure.