Do All Breast Implants Look Fake when Lying Down?

Placing the implant under the muscle sounds right for you.  Anatomical tear drop or round implants have to be determined by your plastic surgeon.  The silicone implant round smooth is very natural under the muscle and would be my preference. 

With cosmetic enhancement surgery, the goal is to provide balance to the augmentated area.  If a misshaped(tear drop can rotate in the pocket) or overinflated high profile implant extends beyond the anatomic boundaries of the breast, it can look unnatural or fake. When you are lying down, this appearance can be magnified.

So speak with your plastic surgeon, and maybe you can find a provider with a photographic (ie Canfield 3D Vectra) simulation system to give you some idea of a final result.

When an implant is selected well and placed properly, it can be very natural looking and feeling, regardless of whether it is saline or silicone. 

Do All Breast Implants Look Fake when Lying Down? I am generally not a fan of the teardrop or antomic implant except in cases of reconstruction. They are generally textured and have a potential to rotate off axis increasing the potential for asymmetry
 

Hi there-

There is no reason you could not have an outcome that you find pleasing in all positions- but I would definitely stay away from anatomic (tear-drop) implants. 

No, not all women with implants look fake when they lay down.  It all depends on the type of implant used, size, exisiting breast tissue, etc.  Certainly a saline implant overfilled alot will look more fake since it is firmer and does not form a more natural shape.    The anatomical saline implant will not do this either, since they are form stable - they stay the same shape at all times.  When you lay down, you want the implant to flatten some, just like natural breast tissue.  The implant that do the best are usually silicone implants that are not too big and sit in the pocket nicely without too much room to move off to teh sides, etc.