Q) Do saline implants look good when they are placed over the muscle? A) The way saline implants look when they are placed over the muscle depends on how much breast tissue and body fat you have. Saline implants have a tendency to wrinkle or ripple so if you do not have enough breast tissue or body fat to cover the implants and hide them, these ripples could be highly visible. In fact, when touched, the wrinkles or ripples might still be felt whether they are placed over or under the muscle. With time, the muscle stretches and the wrinkles or ripples show through or are felt if there is not enough breast tissue or body fat. This tendency for wrinkles or ripples to occur is one drawback of saline implants—they aren’t as common with silicone gel implants. Nevertheless, I have many patients who love their saline implants and would never change them. Your surgeon should be able to review the pros and cons of both saline and silicone gel implants with you in relation to your unique body structure and personal preferences.