How Do Saline Breast Implants Look if Placed over the Muscle?

The look of implants - either saline or silicone - is dependent on your overlying skin. If you are able to pinch a significant amount of skin (more than 2 cm) then you may do well with subglandular (over the muscle) breast implants. Otherwise, you may do better with submuscular implants which would have that added coverage of the muscle tissue. Good luck with your surgery.

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 implant movement with muscle contraction and maintenance of muscle strength. It is a valid option in the right patient.

The appearance of implants placed above the muscle, in general, tend to provide greater fullness to the upper pole and a less natural, more "augmented" look. Depending on the amount of breast tissue you have, saline implants may be more prone to showing rippling of the implant and will be more prone to capsular contracture (hard, painful scar tissue around the implant).
Although I place most breast implants behind the muscle, if I have a reason to place the implant in front of the muscle, unless the patient has a significant amount of natural breast tissue, I will usually try to steer the patient towards silicone implants.
Hope this helps. Best of luck.