i’m 19 years old with PCOS, how badly tuberous are my breasts and what should i ask my surgeon? (Photos)

Ive had PCOS since i was around 12. i’m about 5’1 and 168lbs. Im overweight and my breasts have always looked this way. Im wondering how badly tuberous they are, and what exactly I can tell my surgeon to fix. I would like advice in general as it is my first cosmetic surgery. Another thing i should add, i dont really have nipples. they’re sort of inward or flat. I would also like to mention that they change shape after wearing a bra. they appear fuller for a couple minutes and then go back to being as they normally are. sometimes that happens even wthout a bra, depending on the day.