If I struggle with chest pain and heart issues, will I be able to get surgery to treat tubular breasts? (Photo)

This reply is not a substitute for an examination in person by a board certified plastic surgeon. That said, your photo is limited but shows some subareolar fullness or puffiness, with is certainly on the spectrum of what is considered "normal" even if you are displeased by its appearance. If you choose to undergo breast augmentation it first needs to be determined that you are a good candidate medically as well as aesthetically. Your cardiac issues need to be such that you obtain medical clearance from your internist and/or cardiologist, or both. Once you are deemed "clear for surgery", an evaluation by an experienced board certified plastic surgeon whose aesthetics seem to align with your own would be advisable. From the limited photo you provided it appears that your breasts are pretty and relatively symmetrical. An augmentation alone can sometimes worsen the appearance of puffiness of the areolae unless that is specifically corrected at the same time with a skin tightening procedure. Yes sure to discuss all of this with your plastic surgeon. Best of luck to you.

You will need to get medical clearance from a cardiologist. However, the large areolas can be corrected under local anesthesia.

Best Wishes,

Gary Horndeski, M.D.

Dear Glorious659794,
it is hard to tell for sure without an examination. You will need to get a clearance from your doctor prior to surgery. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery