34B breasts with implants can be the result of either a woman with naturally smaller breasts inserting implants to increase her size up to a 34B, or a woman with natural 34B breasts inserting a small implant to make her natural bust more full and perky. Typically, women who pursue breast implants are looking to achieve noticeably larger breasts, so it is more likely that a woman with naturally 34B breasts would be looking to increase from that size, rather than a woman hoping to achieve a 34B size through surgery. If a woman is hoping to achieve a natural look with breast implants, she should opt for a size that is within one or two cup sizes of her natural size. Considering this, women with natural 34B breasts would look great with an implant that increases her size up to a 34C or 34D. A 34DD would be an option as well, but this surgery would be more likely to look unnatural than a slightly smaller size would. It is difficult to achieve a natural looking result when increasing from a 34B to a very large size because the woman would be unlikely to have enough skin on her chest to allow the implants to sit comfortably. As “the most challenging patients are those with small breast bases and tight tissues.” When a woman has small breasts and tight tissues, it is more difficult to dramatically increase the size of her breasts because there is not very much space or flexibility for a large implant. However, if a woman had 34B breasts due to a dramatic weight loss, she would probably be a candidate for a larger size than typically recommended because she would have extra skin.
In addition to the physical elements that a woman should consider before choosing her desired breast implant size, doctors also stress how important it is to manage expectations. Many doctors cite that patients with smaller breasts may want huge implants because they have been self-conscious about their chests and think large breasts will be a quick fix to their insecurities. These patients also tend to think that as soon as they get the implants, they will never have to worry about them again. This is a myth, as all implants (especially implants that are too big for a woman’s frame) run the risk of medical complications and are likely to be required to be replaced at some point. As Dr. Jewell, who has conducted clinical trials for implant manufacturers, says: “women are used to having their hair or nails done on a regular basis to maintain their appearance […] ultimately, breast implants may also be a matter of maintenance.”