32DD natural boobs; want small implants for perkiness?

Generally speaking, a small implant will provide some superior pole fullness.  The problem with a small implant is the small diameter.  If the implant is "narrow" and it is centered on the nipple, it won't provide much fullness.  The second issue to consider is whether a limited lift to reposition the breast mound would allow a small implant to achieve the fullness desired.  It's not a simple problem and your best action would be to see a local board certified plastic surgeon.  

Hello and thanks for the question. A breast implant alone will not give you perkier breasts. You'll need a breast lift with small volume implants to achieve your aesthetic goals. Consult a BCPS for your care. DrBurnett#realself100