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