How do saline breast implants look if placed over the muscle?

I typically do not recommend implants to be placed directly under the breast tissue unless a previously placed submuscular implant is causing problems (scar contracture, etc.). Their are surgeons who will place implants under the gland to compensate for dropping/ sagging tissue...I think this results... more

You need to go to a Plastic surgeon with experience.  I have had very nice success in a select group of patients.  First and foremost, you need good tissue coverage to avoid rippling.  The new silicone implants are more ideal for the subglandular pocket.

I like saline implants above the muscle when the patient... ...already has a fair amount of breast tissue. Saline implants tend to ripple more than silicone. Hence, those implants need some sort of coverage to camouflage that rippling. That coverage can come from the muscle or from breast tissue. If a... more

For most patients seeking breast augmentation, a saline implant looks better if it is under the pectoralis muscle. Most of the augmentation patients don't the enough soft tissue coverage to camouflage the rippling effects of the saline implant on the upper breast pole noted when the patient is in the upright... more

As you can see from the varied responses, most of us agree that saline implants placed over the muscle can potentially give you a full but somewhat unnatural look.  If you have a lot of your own breast tissue to camoflauge the edges of the implant, it will look more natural.  Some patients do want it... more

 Saline implants placed above the pectoralis major muscle will look ripply, noticeable, obvious, and unnatural. With thick enough skin or enough breast tissue this may not be the result at first, but the experience has been that skin doesn't stay thick and breast tissue doesn't always stick around over... more

The good thing about saline implants above the muscle is that they move like normal breasts and have a quick recovery. The bad thing is that they often exhibit more wrinkling and rippling in the upper part of the breast. There is also a higher incidence of excessive scar tissue, or capsular contracture. I do... more

Breast implants placed over the muscle will have less distortion by the muscle, though the upper part of the implant will likely be noticeable. It can give a somewhat "unnatural" look and feel, though this depends on how much native breast tissue you have. Advantages include easier recovery, less... more

Sarah, Saline implants placed over the muscle can look very natural.  It is dependent on whether or not you have enough soft tissue (skin, fat and breast) to adequately cover and camouflage the implant.  Consultation with a board certified plastic surgeon will determine if you are a candidate. ... more

It all depends on how much breast tissue you have. If too thin, saline breast implants can take on a "grapefruit" appearance when placed over the muscle. Under the muscle is usually better with less complications.