Silicone Breast Implants
Conveniently located to serve Nashua, NH
Specialized Expertise to Support Every Step of Your Decision
Choosing silicone breast implants involves more than picking a size. It requires understanding how different implant characteristics interact with your anatomy, what tradeoffs exist between implant types, and how surgical technique shapes the final result.
At Waldman Plastic Surgery and Dermatology in Nashua, board-certified plastic surgeon Dr. Jeremy Waldman brings focused, fellowship-level expertise in breast and cosmetic surgery to every implant consultation. His approach is thorough, unhurried, and built around giving patients the information they need to make a confident decision.
What Are Silicone Breast Implants?
Silicone breast implants consist of a silicone outer shell filled with a cohesive silicone gel formulated to mimic the feel and movement of natural breast tissue. They are FDA-approved for breast augmentation in patients aged 22 and older and are available in a range of sizes, profiles, and shapes to accommodate different body types and aesthetic goals.
Unlike saline implants, which are filled after placement, silicone implants come pre-filled from the manufacturer. This means they require a slightly larger incision at the time of surgery, but it also means the fill is consistent and structurally controlled. Modern cohesive gel formulations are designed to maintain their shape over time while remaining soft and natural-feeling.
Silicone implants are available in both round and form-stable profiles, including cohesive gel and gummy bear options, giving Dr. Waldman flexibility to recommend the implant that best fits each patient’s anatomy and goals.
Why Patients Choose Silicone Implants
Natural Feel
Cohesive silicone gel responds to movement and compression in a way that closely approximates natural breast tissue. For patients who want results that feel as natural as they look, silicone implants are typically the preferred option.
Smoother Surface Transitions
Patients with limited existing breast tissue are more likely to see or feel implant edges beneath the skin. Silicone implants tend to produce smoother, more seamless contours in these patients compared to saline, particularly when placed beneath the muscle.
Profile and Shape Versatility
The range of silicone implant profiles available allows Dr. Waldman to tailor augmentation results to each patient’s chest dimensions and desired fullness. The right profile supports proportionate results that complement the patient’s frame rather than simply adding volume.
Shape Retention Over Time
Modern cohesive gel technology is engineered to maintain structural integrity as the implants age, supporting long-lasting results without significant changes in shape over time.
Visualizing Your Options Before Surgery
At Waldman Plastic Surgery and Dermatology, patients have access to Vectra 3D Imaging, a technology that allows them to preview how different implant choices may look on their bodies before committing to surgery. This tool helps take some of the uncertainty out of the implant selection process and supports more confident, well-informed decision-making during your consultation.
Silicone vs. Saline Implants
Both silicone and saline implants are FDA-approved, widely used, and capable of producing excellent breast augmentation results. The right choice depends on the patient’s anatomy, age, and priorities.
Silicone implants are generally favored for their softer feel and smoother contour, and they tend to perform particularly well in patients with thinner breast tissue. Because they are pre-filled, they require slightly larger incisions and are only available to patients aged 22 and older. Saline implants are approved beginning at age 18 and require smaller incisions since they are filled after placement.
The most important clinical distinction between the two involves how ruptures are present. A saline rupture is typically self-evident because the implant deflates visibly over a short period of time. A silicone rupture may be silent. The cohesive gel often stays contained, making imaging necessary to detect it. Periodic MRI or ultrasound monitoring is generally recommended for patients with silicone implants to evaluate implant integrity over time.
During your consultation at Waldman Plastic Surgery and Dermatology, Dr. Waldman will walk you through both options honestly and help you understand which implant type best supports your goals and anatomy.
Who Is a Good Candidate for Silicone Implants?
Silicone implants tend to be the right fit for patients who are 22 or older, have limited natural breast tissue, and want results that feel and move as naturally as possible. They are also a strong option for patients who value the profile customization that silicone technology offers and want the implant shape to be as carefully considered as the implant size.
Good candidates are in overall good health, non-smokers or willing to stop smoking before and after surgery, and have realistic expectations about what breast augmentation can and cannot achieve. Patients should also be prepared to follow the implant monitoring recommendations that accompany silicone implants over time.
For patients who are unsure which implant type is right for them, Vectra 3D Imaging during your consultation can make it easier to compare options visually before making a final decision.
During your consultation, Dr. Waldman will assess your tissue characteristics, chest proportions, skin quality, and goals before making any recommendations.
Silicone Breast Implant FAQs
Dr. Waldman’s Approach to Silicone Breast Implant Surgery
Dr. Jeremy Waldman is board-certified by the American Board of Plastic Surgery, a member of the American Society of Plastic Surgeons, and has been recognized multiple times as a Top Plastic Surgeon in New Hampshire by New Hampshire Magazine. He was also named a Castle Connolly Top Doctor in 2025. He has published in peer-reviewed surgical journals, lectured at national meetings, and contributed to book chapters on plastic surgery.
He completed a dedicated fellowship in Breast and Cosmetic Surgery after completing his combined residency in General Surgery and Plastic and Reconstructive Surgery at the University of Rochester – Strong Memorial Hospital, where he served as Chief Resident in his final year. That fellowship was conducted under Dr. G. Patrick Maxwell, an internationally recognized plastic surgeon widely regarded as one of the leading authorities in breast augmentation surgery.
Breast-specific fellowship training of that caliber is not universal among plastic surgeons. It means that the techniques, implant selection principles, and surgical judgment Dr. Waldman brings to every breast augmentation procedure developed under direct mentorship from one of the field’s most respected experts.
Patients at Waldman Plastic Surgery and Dermatology also benefit from the complementary expertise of Dr. Cheryl B. Waldman, a board-certified dermatologist and Fellow of the American Academy of Dermatology.
She completed her medical degree with honors from Tufts University and her dermatology residency at the University of Rochester, where she also served as a Clinical Instructor. Her involvement in patient care supports skin health and overall aesthetic outcomes from a perspective that most standalone plastic surgery practices cannot offer.
Together, they provide a level of combined, comprehensive aesthetic care that is genuinely uncommon in Southern New Hampshire.
View our breast augmentation before-and-after gallery to see real patient results achieved by Dr. Waldman at Waldman Plastic Surgery and Dermatology.
* Individual results may vary.
Photo Gallery
View before-and-after pictures of real patients of Jeremy Waldman
Schedule Your Silicone Breast Implant Consultation in Nashua
If you are considering silicone breast implants in Nashua or the surrounding area, contact Waldman Plastic Surgery and Dermatology today to schedule a consultation with Dr. Waldman. We proudly serve patients from Nashua, Hudson, Merrimack, Amherst, Hollis, Milford, and throughout Hillsborough County.
