Based on search results highlighting clinics and hospitals for breast implant in Riya dh(زراعة الثدي في الرياض)known for expertise, international standards, and specialization in aesthetic and reconstructive breast procedures, here are some of the most trusted options:

It is crucial to remember that the "most trusted" choice is the individual board-certified plastic surgeon who performs your procedure. Always verify their specific credentials and experience, as detailed in the previous vetting guide.

Highly Regarded Aesthetic Breast Clinics and Hospitals in Riyadh
Clinic/Hospital Name    Key Features & Focus Area    Noteworthy Surgeons/Credentials Mentioned
Dr. Omar Fouda's Aesthetic & Plastic Surgery Clinic    Emphasizes international standards, personalized care, precision, and privacy. The facility is equipped with advanced surgical technology and meets international accreditation standards.    Dr. Omar Fouda (Highlights U.S.-based training, Assistant Professor of Surgery at McGill University, fellowship-trained, board-certified).
Dr. Soliman Fakeeh Hospital (DSFH) Riyadh    A major, large-scale hospital, suggesting a high institutional level of safety and comprehensive medical support. The Plastic Surgery Department covers both aesthetic and reconstructive breast surgery.    Features Consultant Oncoplastic & Reconstructive Breast Surgeons (e.g., Dr. Huda Ahmed Al Numani), indicating expertise in complex breast cases.
Enfield Royal Clinic / Royal Clinic Saudia    Advertises a wide range of breast procedures (augmentation, reduction, lift) with a focus on certified and skilled doctors, high-quality implants, and accredited surgical services.    Dr. Jamal Al Deeb and Dr. Rabea Abi Rafea (mentioned as board-certified plastic surgeons with over 20 years of experience each).
Novomed Saudi Arabia    Known as a trusted destination for top-tier expertise in aesthetic procedures across KSA. Offers a variety of implant options, including Saline, Silicone, and Structured Implants.    Features a team of highly-qualified, board-certified plastic surgeons and specialists (e.g., Dr. Saba Al Marush, Dr. Chiara Stocco).
The Clinics (Day Surgery, Aesthetic and Medical Center)    Highlights modern day surgery facilities with three advanced operating theaters, focusing on safe procedures and patient satisfaction.    Claims to feature some of the best plastic surgeons in the region.

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How to Proceed with a Clinic:
Identify the Specific Surgeon: Even within a reputable hospital or clinic, your results depend on the individual surgeon. Ask who specifically performs the breast augmentation procedure.

Verify Their Certification: Confirm the surgeon is certified by the Saudi Commission for Health Specialties (SCFHS) as a Consultant Plastic Surgeon.

Schedule a Consultation: Use the consultation to apply the vetting checklist (experience, before-and-after photos, discussion of risks, aesthetic philosophy, and facility accreditation).

Check Reviews: Look for independent patient feedback and testimonials related to the specific surgeon you are considering.