Do I Have Severe Tubular Breasts Which Need Extensive Surgery?

Thanks for the good posted photos! If only desire correction of the tubing. Than one or 2 operations could correct. But if you want increased size with implant than may take 3 operations. Seek in person evaluations from boarded PSS in your area. 

From your pictures, it does appear that you have a moderate degree of tuberous breasts.  There are difefrent ways to correct this and acheive a good aesthetic outcome.  Usually, this involves releasing the constricted breast tissue internally, as well as releasing the lower breast tissue so that it can expand with the pressure of an implant.  An implant can help provide a better shape to the breast without changing the volume dramatically.  However, I always tell patients that the recovery process is usually at least three months for the breasts to really start to appear "normal".  I hope this helps.

Thank you for the question and good quality pictures.

Yes, your pictures demonstrate some classic signs of constricted (tuberous) breast. Some of these characteristics  include a very narrow base, short distance from areola to inframammary fold, tight (constricted) lower pole of the breasts, relatively wide space between the breasts, "puffy" and areola and some degree of ptosis (drooping).  

Treatment involves surgical procedures which may or may not include breast implants ( depending on your goals).

I would suggest that you seek consultation with well experienced board-certified plastic surgeons who can demonstrate significant experience helping patients with tuberous (constricted) breasts.

Best wishes.