I want a perkier look. What size implant should I get? (photos)

It can be difficult to guarantee the subjective result of feeling comfortable braless. You have a fair amount of breast tissue which makes this result more challenging. I would likely recommend a reduction with or without a small implant. I frequently incorporate internal bra meshes to provide additional support and longevity in situations like this. Reducing some of your natural breast tissue would be essential to improving the lift and perkiness of your breast.
Seek out a few consultations from board certified plastic surgeons and make sure you see B&A results that are similar to your anatomy and achieve your goals.

While we are only basing our response off of a photo, You are definitely a candidate for a breast lift. A lift alone will get you much perkier. If you then wanted to add small implants in just to create more of that upper pole fullness you could do that combined with the lift. Only adding in an implant will not give you a perkier outcome if anything it will add more weight and create more drooping. You should always meet with an experienced physician for a conclusive answer in person when coming to a final decision.

Dear lovexx23,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery