Some candidates for breast augmentation with implants want to take out the implants for breast augmentation with autologous fat due to various reasons, and in order to avoid the embarrassing situation of dried up breasts during the interval between the two surgeries, they often ask me whether the two surgeries of breast augmentation with implants and breast augmentation with autologous fat can be carried out at the same time, and I would like to reply to you uniformly on this issue here. First of all, after the removal of breast implants, it is possible to do breast augmentation with autologous fat. As for the interval between the two surgeries, it depends on different situations, if the breast implant candidate has complications that lead to inflammation of the chest, he or she needs to take out the implant first, recover for 3 to 6 months, and then undergo breast augmentation with autologous fat after the internal tissues of the breast have returned to normal. For those who want to replace the implant due to unsatisfactory shape and no inflammation in the breast, the operation time depends on the location of the breast implant, if the implant is placed behind the pectoralis major muscle, the implant removal and breast augmentation with autologous fat can be performed at the same time, if the implant is placed behind the mammary glands, then it cannot be performed at the same time with autologous fat breast augmentation surgery. Why does the location where the implants are stored affect the timing of the fat breast augmentation? Let’s first understand the specific location of breast implant placement. Currently, there are three locations for implant placement in medical plastic surgery, namely, submammary implantation, where the breast implant is placed between the mammary glands and the pectoralis major muscle, submammary implantation, and biplane implantation, which is a part of the implant is placed under the pectoralis major muscle and a part of the implant is placed under the mammary glands. In the case of autologous fat transplantation for breast augmentation, the fat is injected under the skin or after the mammary glands. If the implant is taken out from after the mammary glands, there will be a large gap between the mammary glands and the pectoralis major muscle, and there are no blood vessels and other tissues in the gap. The injected fat will be easily liquefied and absorbed or formed into hard lumps due to the lack of blood and other nutrients. In other words, it is possible to fill in the fat in this case, but there is no guarantee for the survival rate, and the effect of breast augmentation after the operation is not ideal. If the implant is placed behind the pectoralis major muscle, then after removing the implant, the original cavity where the implant was placed will remain under the pectoralis major muscle, and the internal structure of the breast has not changed, so it can be filled with injected fat, and there is enough blood flow during the period, which does not affect the survival of the transplanted fat. The cavity of the implant can recover on its own, and the filled fat will also squeeze and narrow the cavity in the pectoralis major muscle to help it recover, and the two filled cavities are different and do not affect each other. Overall, if the implant is placed behind the pectoralis major muscle, both surgeries can be performed at the same time. If the implant causes inflammation in the chest, as well as if the implant is implanted under the mammary glands, it will take some time to recover before breast augmentation with autologous fat is performed. If the two surgeries are carried out at the same time, it will increase the difficulty of the surgery, which requires the surgeon to accurately remove the breast implants without damaging other tissues of the breast, and accurately inject into the filler level during the fat transplantation process to avoid injecting the implant into the cavity, and to a greater extent to ensure that the fat is viable, which is more of a test of the surgeon’s skills, so the candidates who want to remove the breast implants at the same time and have fat augmentation of the breast need to go to the regular medical institutions to find experts with rich clinical experience to operate, in order to ensure that they can have a good chance to recover. The experts with rich clinical experience will be able to guarantee the safety and effect of the operation.