Do I have tuberous breasts? Can they be corrected without using breast implants? I'm 19 years old (Photo)

Hi, thank you for your question. 
Based on your photos, you have tuberous breast deformity. This is evident in the constricted lower pole and the herniation of breast tissue into  the areola. 
It would be important to know what specifically bothers you the most about the appearance. If you are satisfied with the volume, then, to answer your question, yes, this can be corrected without implants. 
You and your board certified plastic surgeon can discuss the options for correction and the placement of the scars during an in-person consultation. 
I hope this helps. Good luck in achieving your goals! 

Many thanks for posting your question. It is possible in some people to use a series of fat grafting operations to re-shape and volumise your breasts.The appearance of the nipple/areola can then be considered once your volume and shape have been corrected. This might require surgery that leaves a scar around the areola in the future.I hope this helps - good luck