Silicone Breast Implants

Conveniently located to serve New York City

Fuller Breasts That Look and Feel Naturally Your Own

Choosing the right breast implant is a personal decision, and silicone implants remain one of the most popular choices among patients seeking fuller breasts that look and feel natural. If you are considering silicone breast implant augmentation in New York City, Manhattan Surgical Care offers a consultation experience designed to help you understand your options clearly and confidently.

At Manhattan Surgical Care in New York City, silicone breast implant options are carefully matched to each patient’s unique anatomy and aesthetic goals. During your consultation, Dr. Basil Pakeman evaluates factors such as tissue characteristics, breast shape, skin elasticity, chest proportions, and desired implant projection to help determine whether silicone implants are the right fit for you.
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What Are Silicone Breast Implants?

Silicone breast implants are pre-filled devices containing cohesive silicone gel enclosed within a multi-layer silicone elastomer shell. Unlike saline implants, which are filled with sterile salt water after placement, silicone implants are inserted as a complete, pre-filled unit.

The FDA has approved silicone implants for breast augmentation in patients aged 22 and older. Cohesive gel technology allows the silicone to hold its shape even if the implant shell develops a tear, a characteristic often described as the “gummy bear” quality of modern gel implants.

Silicone implant options span a wide range of sizes and breast implant profiles. Low-profile implants create subtle, proportionate fullness, while high-projection options produce more forward volume. This variety in implant projection and sizing allows Dr. Pakeman to personalize selections closely to each patient’s chest dimensions and desired outcome.

Benefits of Getting Silicone Implants in NYC

Patients who choose silicone implants most often do so for their tactile and visual qualities. Key silicone implant benefits include:

Softer, more tissue-like implant feel compared to saline alternatives
Reduced risk of breast implant rippling, particularly in patients with thinner tissue coverage
Smoother contour transitions between the implant and surrounding tissue
Natural movement that responds more closely to the body’s own motion
Consistent shape retention over time due to cohesive gel composition
A broad range of breast implant profiles and sizes to support individualized planning

These qualities make silicone implants a preferred choice for patients who want results that look and feel integrated rather than obviously augmented.

Silicone vs. Saline Implants: Key Differences

Both silicone and saline implants are FDA-approved, but they differ in ways that affect how they look, feel, and behave over time.

Silicone implants feel softer and move more like natural breast tissue. Saline implants tend to be firmer and carry a higher risk of visible rippling, especially in patients with limited soft tissue coverage. Saline implants can also be placed through a slightly smaller incision because they are filled after insertion, whereas silicone implants are pre-filled and require a larger incision.

Rupture behavior is another key distinction. A saline rupture deflates quickly and is easy to detect. A silicone rupture, sometimes called a silent rupture, may go unnoticed because the cohesive gel stays in place. For this reason, the FDA recommends MRI screening starting three years after surgery and every two years thereafter. Ultrasound is also used in some cases as an alternative monitoring option.

Ultimately, the right choice comes down to your anatomy, tissue coverage, and personal goals. Dr. Pakeman reviews these with you during your consultation before you can get silicone breast implants in NYC.

Who May Be a Good Candidate for Silicone Implants?

Silicone breast implants tend to be a strong fit for patients who:

Are 22 years of age or older, per FDA approval guidelines
Have thinner tissue coverage where breast implant rippling would be a concern with saline
Are seeking a proportionate, natural-looking enhancement rather than a dramatic size change
Prioritize implant feel and natural movement over other factors
Want profile options that closely align with their chest width and overall frame

Patients with fuller natural tissue coverage may do well with either implant type. For patients with limited breast tissue or a leaner build, however, the softer feel and lower rippling risk of silicone implants often make them the more appropriate choice. Dr. Pakeman evaluates each patient’s anatomy individually rather than applying a uniform recommendation.

Silicone Breast Implant FAQs

Are silicone breast implants safe?

Yes. Silicone breast implants are FDA-approved and have been extensively studied for breast implant safety. Both the implant shell and cohesive gel have undergone rigorous evaluation. Routine monitoring and follow-up care are recommended after placement.

How long do silicone implants typically last?

Silicone implants are not considered permanent devices, but many remain intact and satisfactory for 10-20 years or longer. Regular imaging and follow-up visits help monitor implant integrity.

What does a silicone implant feel like?

Silicone implants feel soft and pliable, closely resembling natural breast tissue. Most patients describe them as the more natural-feeling option compared to saline.

What happens if a silicone implant ruptures?

Because cohesive gel tends to remain in place, a rupture may not produce obvious changes immediately, which is why periodic imaging is important. If a rupture is confirmed, surgical removal and replacement are typically the recommended course of action.

Silicone Implant Selection at Manhattan Surgical Care: Dr. Pakeman’s Approach

At Manhattan Surgical Care, silicone implant selection is a carefully considered process shaped by each patient’s anatomy, preferences, and long-term goals. Basil Pakeman, M.D., F.R.C.S., conducts a thorough one-on-one evaluation before making any implant recommendation.

Dr. Pakeman is double board-certified by the American Board of Ophthalmology and the Royal College of Physicians and Surgeons of Canada, and is a Fellow of the American Academy of Cosmetic Surgery. His background in precision surgical disciplines carries directly into his approach to breast augmentation: methodical, anatomy-driven, and consistently focused on results that complement the patient’s natural frame.

When evaluating silicone implant options for a patient, Dr. Pakeman takes into account:

Existing breast tissue volume and skin quality
Chest wall width and overall body proportions
Soft tissue coverage over the intended implant pocket
Desired enhancement level and breast implant projection preference
Long-term balance between implant size and body frame
Lifestyle considerations that may guide implant placement and profile selection

The goal in every case is a result that looks proportionate, feels natural, and holds up well over time. Implant profile, size, and placement are selected for the specific patient rather than defaulted to a standard template. Our team at Manhattan Surgical Care serves patients throughout New York City, including Manhattan, Queens, Brooklyn, the Bronx, and Long Island, as well as individuals traveling from New Jersey, Connecticut, and beyond.

Schedule a Silicone Implant Consultation in New York City

If you are considering silicone breast implants as part of breast augmentation at a trusted practice in New York City, a one-on-one consultation with Dr. Basil Pakeman is the best starting point. He will review your anatomy, walk you through available implant options, including size, projection profile, and placement. He can help you make an informed decision that fits your goals and lifestyle. Contact us today to book your consultation.