36/38DD breast lift with or without augmentation?

At size DD, you do not need implants but need a lift.  The technique I recommend is The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  The weight of the breast is transferred to the underlying pectoralis major muscle resulting in pain relief and long term stability.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.  The Montgomery glands are excised and the areolas are reduced to the size desired.  Best Wishes,Gary Horndeski, M.D.

Hi, thank you for sharing your question. 
You are a good candidate for breast lift, however, if size does not matter to you and you want to be closer to your picture prior to weight gain, you may be a better candidate for a breast reduction. A lift procedure will reposition the nipples and give better shape overall. The best advice is to consult with a board certified plastic surgeon to review all your options. I hope this helps. Best of luck!