My wife was a full A to a small B. She was very jealous of any endowed woman with a C cup or larger. She bought cream enhancements that didn't work. Finally, after a long discussion, she got breast augmentation surgery and is now a 38D. This has helped her esteem and also perceiving the way other men notice her--including me.
Each to their own, but our sex life together improved after her enhancement. She feels more confident about her body and sexuality.
I bet hers don't really look ridiculous, either, because she didn't increase to anything that was insanely higher than her natural size. The really fake looking ones look that way because there isn't much natural breast tissue/fat surrounding the implant, so what you mostly get is skin stretched taut over a plastic bag. When you only go a couple of sizes higher, the boobs look more natural and you still have an esteem boosting size increase. It's all in the flesh to implant ratio.
The ironic side of that, is that women who are already huge can get considerably bigger implants and still have a natural, if somewhat perkier look. I knew someone who was a 38H and got big enough implants for a 38K, which isn't even a 50% increase. Nevertheless, her now GIANT breasts looked for the most part like she'd simply experienced a growth spurt and got some perkiness back(at least to me). She had 8 cup sizes of breast flesh to encompass the mere 3 cup sizes of silicone. Her friends all thought she was crazy, but I guess 'size queens' don't just come in the big dick loving variety. She just got off on having enormous tits, and wanted to be even bigger. /shrug