Hi Lauren, I had Dr Tsekouras at the London clinic. In all of my consultations he told me they wouldn’t be perky because they are too low and flat at the top. I was a bit upset at first but I wanted to go ahead anyway. I had my surgery last week and my boobs are so perky, but not false looking they are natural , I am overwhelmed with joy. The doctors cannot give any false hope so everyone will say they won’t look perky. It also depends how small you go, the smaller the perkier I went from an E to C/D. I also think it depends on the surgeon, I think Dr Tsekouras is miracle worker!