Normal or abnormal breast perkiness for a 22 year old female? (Photo)

You absolutely do not need a breast lift at this point in time.  Breast implants would give help you regain the C cup size you mentioned but if you are against implants then I would not recommend an augmentation.

The photos you have posted show normal appearing breasts. They do not show enough drooping to warrant any type of breast lift surgery. Breast augmentation would give you somewhat fuller breasts but it sounds like that's something you don't want to pursue.

Although your breasts may appear saggy to you, they really aren't.  You still have nice, perky B cup breasts that are appropriate for your age.  If you're not looking to be any bigger, then I would suggest sticking with what you have and not pursuing anything surgical.  Good luck!

Many factors can affect breast shape and feel during a woman's life. Pregnancy, weight loss, weight gain, puberty, birth control, developmental irregularities, just to name a few, can all have significant effects in size and shape of the breast. I do recommend you follow up with your primary care physician for an evaluation and general physical, just to make sure.In your case it's not clear what has occurred, but you have normal, aesthetically pleasing breasts with no sagging. You don't need a lift, but maybe an increase in volume. If you are considering increasing volume and do not want implants, there is the alternative of using your own body's fat (autologous fat transfer) to increase volume.Accutane can interfere with proper healing, so surgery should be postponed for at least a year.I am unaware of any changes to the breast with the use of Accutane.Hope this helps.

My recommendation would be to do nothing.  Unless you want an implant to increase volume (which you don't) I would not recommend having surgery. 

 You have  attractive aesthetically proper breasts. If you don't want to be any larger you should completely leave them alone.

Hi there. You have a youthful and natural breast appearance. There is no need for a lift - it would only introduce scarring without any benefit. 

Your breasts are achieving the normal breast shape that occurs secondary to GRAVITY.  Breast lifts, when necessary, are necessary but they also leave some degree of scarring.  There are usually five main criteria which indicate the need for a breast lift.  1.  Nipple areolar complex at or below the inframammary fold (crease at bottom of breast)2.  Breasts hanging on the chest wall3.  Areola too big4.  Areola too low on the breast mound5.  No fullness in the upper quadrantThe only criteria you meet is lack of fullness in the upper quadrant which can only be achieved by some form of breast augmentation. 

   If you do not want implants, you could opt for fat grafting to add a little fullness and tightness.  I would not recommend a lift.Kenneth Hughes, MDLos Angeles, CA

You are 100% not in need of surgery. You look fine. Do not have a procedure that may make you look worse.