Thank you for the question and pictures. I think you are correct: your breast photos do demonstrate many of the characteristics seen with tubular (constricted) breasts. For example, the distance from the areola to inframammary folds seems to be tight and relatively short. The areola do demonstrate some features associated with tubular breast such as an increased width (and “puffiness”). You will benefit from an in-person consultation with well experienced board-certified plastic surgeons. This consultation will allow for accurate advice that is best provided after a thorough history, physical examination, and detailed discussion of your goals. There are a lot of factors to consider when making recommendations; for example your life circumstances ( planned pregnancies, psychosocial situation…) and tolerance for scars are factors that should be taken into consideration by you and your plastic surgeon. Based on your photographs and description of concerns, it is likely that you will benefit from breast augmentation plus/minus areola reduction/lifting surgery (to improve any "puffy" areola and/or nipple/areola position concerns). When it comes to costs of surgery, there may be many “variables” involved. The specific surgeon's credentials/experience level (or lack thereof), the specific geographic area you are looking at, the different operations available, the location of the procedure (quality of surgery facility), type/quality of anesthesia provider, type of breast implants … are some of the potential variables involved. You will find some average costs of surgery on this website and on individual plastic surgeons' websites as well. In regards to outcome of the planned procedure, more important than costs of the procedures will be careful selection of your plastic surgeon. I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons. Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. ***Ask to SEE lots of examples of their work AND preferably speak/see patients who have had similar procedures done. Be very careful with your decision-making. You will find, while doing your due diligence, that there are many different “specialties” who will offer their services to you; again, I strongly recommend you concentrate on surgeons certified by the American Board of Plastic Surgery. I would also suggest that you do not base your selection of plastic surgeon primarily on costs of surgery; keep in mind that additional revisionary surgery may be more costly in many ways. Best wishes.