I want perkier breasts! Is there any way to get the perky look without going bigger?

Consider having a breast lift.  A mastopexy is a surgical procedure that moves the breast tissue higher on the chest wall and repositions the nipple to a perky position.  The areolae (the pigmented part around the nipple) can be resized if desired.  The result is firmer breasts with perky nipples.  There is no need to perform a breast augmentation if that's not what you want but you should be aware that part of your current breast volume is from skin.  Excess skin will be removed during the procedure so some women find their breast size decreases a bit from mastopexy alone.  Schedule a consultation with a board certified plastic surgeon.  (S)he will be able to tell you what to expect in terms of size.  Some women choose to have fat transferred to their breasts or a small implant placed in order to preserve breast volume.

The
breasts may lose their elasticity and firmness which can be caused by different
factors such as pregnancy, massive weight loss, lactation and aging. To
reaffirm the breasts and restore the natural look your surgeon can perform a
mastopexy or breast lift. A breast lift
restores a firmer, perkier, and more aesthetically pleasing shape to sagging
breasts. This not only can improve a patient’s appearance by restoring her
youthful, feminine proportions, but also help bras and swimsuits fit more
comfortably and attractively. By removing excess, stretched out skin, reshaping
the breast tissue, and raising the nipple & areola into a more forward
position, a cosmetic surgeon can create a more youthful breast
contour. Stretched, large areolae can also be reduced during breast
lift surgery, creating an overall better proportioned, natural looking breast, Actually
the perkiness on a person or another, depends on patients skin and breast
tissue for
the first 3 to 4 months!