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I assume you had a breast augmentation recently. If so, this is usually due to spasm of the muscle.
A little more info would be helpful. I assume you've had a breast augmentation. When was it? How frequently does this occur, and does anything in particular let it off.? Unusual sensations are common and are unique to each individual patient. Almost all of these resolve without either treatment nor specific diagnosis.\ Your best resource for this question is your surgeon. Call the office for an appointment. All the best.
This is a difficult question and really depends on specific measurements that can only be determined during a consultation with a board certified plastic surgeon. In general though, 250cc will increase you a full cup size. So, if you are a C and want to be a full D, you likely need about 350cc...
When I have encountered this situation in the past I have coordinated post op pain relief with the Pain Management Specialist and it worked out well. Another solution is to use either a pain pump or a long acting local anesthetic such as Exparel.
I usually stop Silvadene after a few days and try to dry out the wound as much as possible. Weekly visits to your plastic surgeon to keep an eye on things is also not a bad idea. It should be fine as long as your implant does not get exposed or infected. Be Well!!