What are the options to fix excess skin on breasts. (photos)

It's hard to give definite medical advice over the internet, so you should start with a consultation with a board certified plastic surgeon.  Your options for rejuvenating your breasts after child birth and breast feeding usually involve breast implants, a breast lift or both.  There are different
techniques that can be employed to improve upon the shape and appearance of the
breasts. These may include tightening of the skin and repositioning of
the breast tissue, insertion of breast implants, or a combination of both
techniques. In terms of breast implants, there are a variety of
augmentation techniques that can use saline or silicone implants. The procedure is usually done as an
outpatient procedure to help augment a woman's breasts or replace volume that
has been lost after childbirth, breast feeding, through normal aging or weight
loss. This may sometimes require more than one operation if both a lift
and implants are needed. Which technique is used is based mostly on
the individual patient. In general, if the
nipple "hangs" more than an inch below the breast fold, some
type of lift will be needed. 

Thank you for your question and photos.  If you are happy with your breast size, a breast lift (mastopexy) can remove all excess skin and provide a lift.  If you would like to be bigger at the same time, an implant can be placed during the lift surgery to make you larger and increase the fullness on the upper pole of the breasts. Be sure to see a board certified plastic surgeon.