Female breasts represent since dawn of time a symbol of femininity. That's why female breasts size and shape are so important to the female. Being one of the most required plastic surgery procedures, breast augmentation became so popular. With practice and discovering of many implant types, incisions, planes of insertion, subfascial breast augmentation carries some of the advantages of both subglandular and subpectoral planes. Since it is described by Graf et al, it became a plane of interest among surgeons. Our study included 40 cases of subfascial breast augmentation using the inframammary approach, and using rounded high profile cohesive gel implants. Follow up up to 2 years was ruled with serial photos. A questionnaire about female satisfaction starting from post-operative till 2 years after was followed with high satisfaction indices. Complications were 2 cases of rippling and 2 cases of capsular contracture. Conclusion: Subfascial breast augmentation is a promising procedure that should be considered as a plane of insertion of breast implants especially in thin females with strong pectoralis and less than 2 centimeters pinch. It requires more study to have an accurate data about its complications and how to avoid them. Keywords: Breast augmentation, subfascial plane, pectoral fascia.