I am a 34b between 115lbs and 120lbs 5'6, is going to a D cup too big for my frame?

Thank you for your question. 
Selecting the correct implant  is among the most important decisions in a successful breast augmentation procedure. There are several factors to consider and the placement of the identical implant will not produce the same results in all patients due to differences in:
1. Dimensions of the breast  2. Diameter of the chest 3. Volume of the breast tissue  4. Height and weight 5. Breast shape, including ptosis and asymmetry
I rely on 3 methods to advise my patients: 
1. Dimensional planning  2. Gel implant sizing  3. 3-Dimensional Vectra imaging system.
At the time of consultation, measurements are taken allowing for dimensional planning to select the implant which best fits the base diameter of the breast.  Gel implant sizing is performed to allow you to visualize augmentation with the various sized implants.  Vectra 3-D imaging has been a very important method in my practice in selecting the correct implant size and shape as it allows you to see what you will look like following augmentation with any of the available implants. 
Best wishes, 
Andrew T. Lyos, MD, FACS
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Thank you for your question.
Unfortunately there are no photos. I have performed breast enlargements on many patients with your body size and they've been very happy with their D cup after surgery. As an artist (from the Los Angeles County Museum of Art) I like to match the implant to the patient.  During your consultation I like to find out what your goals are (i.e. what cup size you would like to go to.) We have special breast sizers that you can place in a bra and get an idea of what the different size implants will look like on you. Patients find this very beneficial. After we know what cup size you would like to go to, I then measure your base width diameter. This is the measurement of the width of your breasts. Then we will be able to pick out your breast implant. For the breast enlargement, I utilize the bloodless breast technique which I invented. Bleeding is minimal, typically there is no bruising after surgery and recovery is quicker versus traditional techniques. For more information please watch the enclosed video. I hope you find this information useful.

Thanks for the question. For a better answer to your concerns its good to have at least some photos to give you the advice. The best is to have a personal evaluation to discuss all your doubts about the procedure and to tell you whats best for you. We take some parameters to determine the volume of the implant such as the chest diameter of the patients. Kind regards