Breast augmentation is one of the most common aesthetic
procedures required by plastic surgery female patients, and
one of the most effective procedures changing their physical,
psychological and social status as well. Certain problems
would be corrected by breast augmentation as well such as
amastia, hypoplastic breast, asymmetry, and age-related
changes. To obtain an Ideal breast augmentation, there are
some objectives that have to be fulfilled: The position of the
nipples must be in the most projecting part of the breasts. The
implant must be non-visible and non-palpable underneath the
skin envelope. And the lower pole of the breast should be
adequately filled than the upper pole. Thirty patients were
included in this study using pectoralis major high splitting
technique for the purpose of performing breast augmentation
over the period of 5 years from February 2013 to November
2018. Follow-up period for each case was at least 6 months
for the aesthetic outcome and patient satisfaction. Patients
satisfaction was extremely high and there were no evidences
for capsular contracture or abrupt demarcation of the implant
under breasts skin. In conclusion performing breast augmentation
using pectoralis major high splitting technique is of
great value in giving a three-dimensional improvement in the
continuously changing soft tissue dynamics of the breast, also
decreases morbidity of the procedure and raises satisfaction
and favorability of patients toward breast augmentation.