How can I achieve a natural look from a breast revision?
I had saline breast implants with a lift for 14 years and then I had them removed. They were under the muscle. I am considering having implants put back in. I do not have any breast tissue. I know they cannot go below the muscle because I had them there before and they were removed 5 yrs ago. How can I achieve a natural look without seeing ripples due to no tissue at all?
Your situation is more challenging than treatment of a patient who has not had multiple prior procedures. Seek a surgeon who is experienced with secondary and revision breast procedures. The circumstances of your prior operations and your current anatomy will determine what your surgeon is able to accomplish. She or he may be able to use saline implants under the pectoral muscles again. New "Ideal" brand implants can give you the feel of silicone gel while maintaining the advantages of saline. The natural look depends on moderate implant size, properly fit to your body and tissues, and on technique of your surgeon.
It may be possible to replace implants under the muscle for a more natural look, but that would depend on your specific situation. Silicone gel implants may feel more natural than saline, and choosing the right size based on your anatomy will make a big difference too. Sometimes the result can be improved with fat grafting for more coverage.