I want to get saline implants. I'm a saggy 38D wanna go to perky DD.

Thank you for your question. Without photos it is difficult to give feedback, however a patient who presents with "saggy" breasts are typically candidates for a mastopexy in conjunction with implants for added fullness in the upper pole. I recommend discussing these options with your board certified plastic surgeon, who can individualize your treatment plan.

Hi.  If you have sagging then a lift with implants is going to give you the best shaping.  Placing an implant, even an overinflated saline implant, will only expand the upper portion of the breast, and will not reposition the nipple to be centered.  The looser your tissues (from weight gain, nursing, aging, etc) the more likely you need a lift. The use of a high projection implant will help give you cleavage and increase cup size, signs of perkiness.  Have an in person examination and consult on the different implant options with an ABPS certified PS.  Good luck!