Breast Implants if Already a D-cup?

Choosing the right implant for you is a tough decision but a full exam and history and a discussion about your desires is key during consultation.

Mothers may find that pregnancy and breastfeeding contribute to loss of volume and firmness. It’s hard to determine the best treatment for you without a photo, but if you're looking for perkiness, you'll need a lift--or, if you also want more volume, a lift and implants.
A breast lift raises droopy breasts from one to several inches and excess skin is removed. If you just want to go bigger, the only way to do that is with implants. You can get an improvement in your shape and contour with breast augmentation as long as you don’t mind being a bigger size.
Because it is difficult to determine the amount of asymmetry, you would either need different size implants in both breasts, or augment the smaller breast, or reduce the larger breast with liposuction or a breast reduction. The great thing about these techniques is that they can now be down with minimal scarring and performed as an outpatient procedure without the need for general anesthesia.