This paper reviewed the latest developments of silicone breast augmentation in technology, concept and cognition. It is pointed out that breast implant-associated anaplastic large cell lymphoma(BIA-ALCL), breast implant illness(BII), re-understanding of smooth and textured prosthesis, the promotion of endoscopic assisted transaxillary augmentation mammaplasty, and the use of perioperative antibiotics are important factors affecting the development of breast augmentation with silicone implant. And the 2020’s edition of guideline is also updated in these areas.