This week, we met another patient 13 years after breast augmentation who had bilateral implants rupture and leakage of the implant contents, resulting in contracture of the envelope and breast deformation. Patient’s description: 13 years ago, she had bilateral breast implants in a foreign hospital. Initially, the shape and feel of her breasts were fine for a while, but 3-4 years ago, she felt that her breasts gradually became harder, and two years ago, the left side became significantly harder, and the shape became smaller, more elevated and displaced upward. There was no history of trauma after surgery. She came to our hospital for examination and found that her bilateral breasts were already deformed, and the contracture of the envelope was graded as grade 4 (the degree of contracture is divided into 4 grades, grade 1 is normal, grade 2 is slightly contracted but can only be felt by a professional physician, grade 3 is obviously contracted and hardened but not yet deformed, and grade 4 is very hard and deformed). MRI revealed bilateral rupture of the prosthesis. Surgical findings: just after cutting through the thick envelope, sticky prosthesis contents flowed out, the prosthesis had deflated a lot, wrinkled, and it was estimated that nearly half of the contents flowed out. The contents have become yellowish and are no longer in the original colorless and transparent state, indicating that the contents are not exposed for a short time. When the pericardium was cut open, the sticky contents flowed out The prosthesis was wrinkled, the contents became yellow, and about half of the contents flowed out outside the prosthesis This is a very typical case of pericardial contracture caused by the rupture of the prosthesis: the exposed prosthesis stimulated the pericardium to grow and thicken, and the pericardial contracture gradually became hard and deformed. Because the patient had never undergone any medical review or ultrasound examination, she had actually been exposed for some time, but she did not know it until she came to the hospital when it was very serious, and it had already manifested itself as the most serious type of periosteal contracture. It should also be emphasized that the quality of the prosthesis is one of the most important factors in the length of postoperative maintenance. There is no need to hide the fact that in this case a national brand of prosthesis was used. Why do you say that you would rather spend more money than to choose a reliable quality, big brand implant? We can see a lot of evidence from the implants removed after breast augmentation. Of course, no brand can guarantee a lifelong commitment, but a longer maintenance time is still reassuring. Last but not least, I would like to remind all breast implant candidates that regular review is indispensable! Cue the review activities after breast implant augmentation conducted by Prof. Li Bi of the Plastic Surgery Department (Formation Department) of the North Medical College, which is still ongoing.