In my 20s! What to do about stretched out, deflated A cups

Placing implants under the muscle is appropriate for patients with less soft tissue coverage.  This will greatly improve the deflated appearance, and I think you will be very happy with this.  A breast lift can be performed, but this will flatten the breast further and make it look smaller.Find a plastic surgeon who performs hundreds of these surgeries each
year, has great reviews, and has great before and after pictures.Kenneth Hughes, MDLos Angeles, CA

Thank you for your photos.  Your issue is a large amount of skin and not enough volume of breast tissue to fill it.  One solution would be a breast lift, which would remove only some of the skin but keep all the volume.  Putting the same amount of volume inside a smaller envelope of skin would plump that skin out and give the appearance of a fuller breast.  At the same time it would reduce the size of your areolar and lift your breasts.  If you are happy with the lifted breasts which appear fuller and reduced areolar then nothing else needs to be done.  If you wish additional volume, a breast implant would need to be added.  In spite of the marketing, avoid the unpredictable fat grafting which is not approved treatment yet.

To fill out the breasts, you will likely need implants to get a reasonable fill. Some surgeons are using fat injection to the breast, but "take" may limit the final volume.

If you ask 10 plastic surgeons you'll get 10 different answers. Simplest answer is to do a breast augmentation to fill out the skin.  If you don't like the size of your areolas and don't mind scars, we can do a lift with either a small implant or fat grafting. Fat grafting will give you one cup larger and you will need enough fat to harvest. Best Regards, 

Hopefully the weight trade off is worth it all.Best option would be implants, possibly combined with a lift. It does not look like you have enough fat to consider fat grafting which is an alternative for enlargement in patients who do not want implants.I would be cautious about a lift alone. My concern is not having enough breast tissue to fashion a nice breast contour by the end of surgery. I would suggest a consultation with a plastic surgeon to have an examination and then a review of all the options.Best wishes. 

You certainly can have a breast lift alone to improve the appearance of your breasts.  However they will still feel quite deflated.  A small sub-muscular breast implant would fill the breast and make it look very nice with a breast lift.Another alternative is fat transplantation which avoids the implant, but is a new technique not yet approved by the ASPS