Does anyone have pictures of over the muscle silicone implant before and after pictures?

Hello and thank you for your question. There are many different options for types of breast implants and type of implant placement (below the muscle vs subglandular).  It is very helpful to have an in-person evaluation to give you the best advice. The most important aspect is to find a surgeon you are comfortable with.  I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon

Thanks for the question.In my advice I recommend you Cohesive Gel - Silicón Breast Implants with textured cover ("gummy bear implants")They are quite safe and aesthetically best as they give a firmer consistency, better projection and most natural appearance than Saline implants.Respectfully,Dr. Emmanuel Mallol Cotes.-

Hello dear, thanks for your
question and provided information as well..
The breasts may lose their elasticity and firmness which can be caused by
different factors such as pregnancy, massive weight loss, lactation and aging.
To reaffirm the breasts and restore the natural look your surgeon can perform a
mastopexy or breast lift. A breast lift restores a firmer, perkier, and more
aesthetically pleasing shape to sagging breasts. This not only can improve
a patient’s appearance by restoring her youthful, feminine proportions,
but  also help bras and swimsuits fit more comfortably and
attractively. By removing excess, stretched out skin, reshaping the breast
tissue, and raising the nipple & areola into a more forward position, a
cosmetic surgeon can create a more youthful breast contour. Stretched,
large areolae can also be reduced during breast lift surgery, creating an
overall better proportioned, natural looking breast, Actually the perkiness on
a person or another, depends on patients skin and breast tissue

If you have enough soft tissue then above the muscle, sub glandular implants can be placed. If you do not have adequate soft tissue then rippling may be apparent from the implants.