If you get a really good one, what it basically looks like after a bit is a dead baby.
They can look incredibly realistic (scanned from real babies) although usually the hair ranges from ridiculously bad to not great and obviously fake, but the silicone they are made from weeps a bit so they can develop a slightly oily coating from time to time, they don't breathe which you can't help but notice after a while, and their eyes are either permanently closed or a dead fixed stare.
They are also susceptible to tears in the silicone if handled too much or too roughly.
It can be rather distressing to tear ones leg off if you are planning on dressing it often - you'll have to do it from time to time so you can wash the substance they weep off.
I have been sent dozens, from cheap ones to very expensive ones.
I found opening the boxes distressing because they always seem to have been shoved in clear plastic bags which made me feel really uncomfortable.
They range from ones with silicone limbs and head attached to a stuffed cloth torso, through to full silicone with externally modelled and painted genitals.
The full silicone ones can be bathed.
As they tend to be hand painted, you are at the mercy of whoever is doing it.
I once received one which had accurate outer genitals.
The genitals, wrists and ankles were painted in such a way that it looked like a child who had been restrained and harmed and frankly, it haunted me.
That one was not intended to be any kind of weird version, it was being sold as a doll for adults and children and they'd just got a bit enthusiastic making the creases/skin folds a deeper red.
I actually found it traumatic seeing it, having to handle it, and eventually getting rid of it.
I couldn't donate it to anyone else in that state and I felt like I was harming it throwing it in the bin.
My brain knew it was just a creepy doll, but my heart told me I was throwing a dead child in the bin and I was a bit scared that when the bin men emptied the bin, they'd somehow catch a glimpse of a leg with what looked like restraint marks on it and have to stop the collection to investigate.
I wouldn't recommend them at all.
I now refuse to have anything to do with them.
Before anyone questions it, yes, I have also seen a real dead baby.
That is exactly why I found so called Reborn style dolls so traumatic and wouldn't allow one in the house.
My son wouldn't even be in the room with one as he found them unsettling too.
I know I see people saying they are well received by some dementia patients, but so are those odd fake pets which wouldn't in any way fool someone across a room without dementia, so they are obviously operating on a whole different level.