“Doctors should be willing to spend time for their patients.” This is what Liu, director of the Department of Plastic and Reconstructive Surgery at East China Hospital of Fudan University, often says. He is indeed the same: willing to spend time to “fight” for patients to the end, until the broken finger blood vessels to connect; in the face of beauty seekers, willing to spend time to listen to their needs, but not just cater to, but properly point out the problems and excessive requirements, and adhere to their professional bottom line. In his opinion, an excellent plastic surgeon must be a “triad” of technology, communication and principles. Because health is happiness, beauty makes confidence. In his opinion, as long as the patient is well, they are tired of suffering, but also sunny. One day in the middle of the night, he collaborated with a trainee doctor to perform an operation for replanting a broken finger, and the patient was a technical worker who had his right ring finger pinched off by a machine tool. Due to the serious contusion injury, the broken finger was bloody, the anatomy was unclear, and the finger blood vessels were as thin as hair. But Liu Tianyi and his partner were not discouraged, and the operation lasted until the early morning, when a key vessel was finally connected. At that moment, the overworked doctor’s hand shook and the surgical instrument cut the vessel that had taken several hours to connect. “No more! No more! The operation is difficult, and after doing it for so long, I just can’t carry it anymore!” The doctor had the intention of backing off. “Don’t be discouraged! Don’t give up now that we are so close to this step. Now the anatomical conditions are better than the original, and the reconnection of blood vessels is definitely faster than the original. Grit your teeth again and hold on for a while!” With Liu Tianyi’s strong psychological support, the doctor rejoined the battle, and eventually the blood vessel that had been cut twice was miraculously connected again. In fact, before this surgery, Liu Tianyi has done more than ten consecutive plastic surgery, the hospital emergency surgeons know that his skills are excellent, so once there are complex plastic surgery will think of him. At that time, he has also been exhausted, the surgery is gritted teeth to finish, the only support his belief is not to let the patient left disabled, “a pair of complete dexterity of the hand, for a person, especially a worker is how important!” To have good technique, moreover, he must be able to communicate Perseverance for the sake of patients is not only on Liu Tianyi’s operating table, but also in his communication with beauty seekers. “Dr. Liu, please, make my breasts bigger again, otherwise my husband will not come back to me.” Faced with such a plea from a female beauty seeker, Liu Tianyi felt a little surprised. In his professional eyes, the curve of this woman’s breasts after breast augmentation had reached the standard of fullness. The company’s main business is to provide a wide range of products and services to the market. She found out by chance that her husband likes women with fuller breasts, and her own breasts look flat in comparison. This made her feel ashamed of herself, so she linked her husband’s change of heart to her small breasts. But after her breast augmentation, her husband continued to have rendezvous with his “mistress”. “The company’s main business is to provide a wide range of products and services to the market. As a plastic surgeon, Liu Tianyi in the same time to enlighten her, adhere to their professional principles, never cater to the requirements of beauty seekers, because this is responsible for the physical and mental health of the candidates. “In fact, in foreign countries, beauty seekers should be equipped with a psychologist in addition to seeing a plastic surgery clinic before undergoing plastic surgery. Among the beauty seekers, many of them have cognitive bias towards beauty, which leads to more serious psychological problems.” Liu Tianyi admits that, at present, this psychologist’s job needs to be taken up by him. An excellent plastic surgeon should not only have skilled technology, but also good communication skills. Liu Tianyi told a small story: there was a candidate for deep scar surgery was very successful, but the candidate was not satisfied, because she felt that there was still a difference compared to the normal skin tissue next to her. The surgeon who operated on her was “furious”: “You’ve been sewing for an hour and you’re still not satisfied. And so the quarrel broke out. The same phrase, if expressed in a different way, will achieve a different effect. First of all, it is necessary to tell the candidate that, as far as the current medical technology is concerned, it is very difficult to restore the deeper scars to normal skin tissue. Then, pre- and post-operative photos can be brought out for comparison so that the candidate can see the improvement after the surgery and emphasize that it was carefully sewn with the thinnest thread over an hour, “The doctor needs to patiently listen to the patient’s needs, even if they are unreasonable. Then, communicate calmly and quietly, and I think there is nothing that cannot be solved”. Plastic surgery is more like an art 16 years ago, Liu Tianyi about to study for a master’s degree was faced with a professional choice, at this time in the field of surgery to continue his education became his ambition, “at first, I did not think to choose plastic surgery, orthopedics, general surgery, thoracic surgery and other surgery in the big specialty is my ambition”. But, a long conversation with a doctor during a late night shift changed his life. “After a long talk with him, I chose the specialty of burn plastic surgery.” Liu Tianyi said that burn surgery is closely related to plastic surgery, and many plastic surgeons are after the training path of burn plastic surgery – plastic surgery – plastic and cosmetic surgery. Although the trauma of burns is a test of the psychological endurance of the practitioner, but its late plastic surgery, can make people see the improvement of skin appearance and function, for doctors, the sense of accomplishment speaks for itself. What makes Liu more excited is that plastic surgery is more like an art, which is full of creativity, “major surgery has a strict code of practice, you can not exceed the half step. Like the appendectomy of the ‘Mac’s incision’, which has been maintained for more than 200 years without any change. In contrast, plastic surgery, such as scar tissue repair surgery, as long as the minimum degree of trauma can be achieved, the use of skin grafts or flap grafts, with different sutures, with different suturing techniques can be, there is no excessive restrictions on the operation process, which makes the process of plastic surgery is full of creativity and art. Later, under the recommendation of this doctor, Liu Tianyi enrolled in the master’s degree program of Zhu Zhixiang, director of the burn and plastic surgery department of Shenzhen Second People’s Hospital, who had just returned from further studies in plastic surgery at Harvard Medical School in the United States, completing his introductory basic training in plastic surgery. Three years of doctoral work, fully devoted to basic research The Department of Plastic Surgery of the Ninth People’s Hospital of Shanghai, internationally renowned as the cradle of Chinese plastic surgeons. After two years of clinical work in Qingdao in burn plastic surgery, Liu Tianyi thought it was time to go to a broader world for experience, and he wanted to continue his studies in the Department of Plastic Surgery at the Ninth Hospital. One of the founders of Chinese tissue engineering, Professor Cao Yilin of Shanghai Ninth People’s Hospital Plastic Surgery Department’s fame and expertise attracted him again. Liu put himself forward to apply for Cao Yilin’s doctoral program and was fortunately selected. During the three years of his doctoral study, he spent entirely in the laboratory, “Now as a clinician, one must have certain scientific ideas and methods, and the three years of basic research in the doctoral program is considered an introduction to scientific research”. Tissue engineering is a more emerging discipline that focuses on how to cultivate various human organs for clinical transplantation through the extraction and differentiation of stem cells. Liu Tianyi’s doctoral research focuses on human cartilage tissue culture, “which simply means extracting bone marrow stem cells through blood sampling, and then culturing organs such as nose, ear, eyelid and even trachea through serum protein. These organs are derived from the patient’s own body and do not produce any rejection reaction, and their biological properties such as elasticity and softness are nearly perfect and do not give the patient a foreign body sensation.” During his three years as a doctoral student, Liu Tianyi and his fellow students almost forgot to go to bed to do their research, and it was not uncommon for them to be busy until 2:00 or 3:00 a.m. when they went back to their dormitory over the wall. As a result, their group published several papers with international impact. In the past three years, Liu Tianyi’s attachment to his clinical work in plastic surgery has never stopped. Before his doctoral graduation, he proposed to his supervisor his wish to return to the clinical line, which was finally supported by Cao Yilin. During his clinical work in the Department of Plastic Surgery of the Ninth Hospital, Liu Tianyi was often invited to participate in emergency trauma surgery in the middle of the night, in addition to completing dozens of plastic surgeries in a week. A number of renowned professors in the Department of Plastic Surgery at the Ninth Hospital have mentored him and have recognized his performance. In 2009, Shanghai Huadong Hospital recruited for the establishment of the Department of Plastic and Reconstructive Surgery, in order to seek greater development, Liu Tianyi and Huadong Hospital immediately hit it off, as the introduction of talent, he served as the hospital’s first director of plastic and reconstructive surgery. 2011, Liu Tianyi was selected for the “Shanghai Health System New 100 People Plan”. Nowadays, Liu Tianyi devotes more energy to the research of post-operative breast reconstruction for breast cancer patients. “In the United States, breast reconstructive surgery accounts for 60 to 70 percent of all plastic surgery procedures. In China, few hospitals reconstruct breast for women with breast loss after breast cancer surgery, and China is 20 years behind foreign countries in terms of related technology.” Liu Tianyi said that for women who have lost their breasts, the pain of their married life is not conceivable to ordinary people, “the breast is the second sexual characteristic of women, when they or their lovers touch the flat sternum or only one side of the breast, this blow may cause the breakup of the marriage.” Moreover, the incidence of breast cancer is gradually becoming younger and women in their 20s and 30s who have lost their breasts are beginning to appear, and breast reconstruction will be in great demand in the future. “The best way to reconstruct the breast is to do it at the same time after a mastectomy, called a one-stage breast reconstruction, using excess fat from the abdomen or back to build the breast and skin flaps to make the areola and nipple. Its results are quite good.” Liu Tianyi also pointed out that the size of the trauma and the timing of anesthesia determine the success or failure of the surgery, which requires more multidisciplinary collaboration with breast surgery or general surgery and anesthesiology to achieve.