I am a 34DDD in bra size. Can you make my breasts look better? (Photos)

Thank you for the question and corresponding photos. A breast lift will help you achieve that perky, fuller look you desire. Your areolas (nipples) are pointing downward and a breast lift will project them higher up, and added fullness will allow your breasts to have a more rounder aesthetic appearance. The goal is to lift your breasts without reducing your breast tissue/size one bit. Please consult with a board-certified plastic surgeon in-person to go over your aesthetic goals and concerns. For more information on mastopexy (breast lift) please visit our webpage. 

The breasts could be made more perky with a lift or reduction, depending on your goals for final cup size and your symptoms.  Back, neck and shoulder pain are all made better with reduction.  See your PS for evaluation of your goals and recommendations.