Enlarged breasts

Patient : 8 years ago I had a breast reduction at the age of 32. I asked to be reduced to a B but really it was a C. 2 yrs ago I had a full hyst. and have now started HRT. I have not gained any weight maybe 5 lbs back and forth but thats it. My breast are now back to a full D size and at times seem so swollen- what is causing me to have large breast even after having them reduced?
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