Is my breast shape and size normal for my age (22 years old)? (Photo)

You have normal breasts.  You do not have tuberous breasts.There is not much to be gained by labeling someone with tuberous breasts.  An operative plan should be developed based on your anatomy.  Whether that is breast implantation, lift or reduction, symmetrization or some combination of procedures, there is no particular point in stigmatizing your breast shape.  A properly trained, skilled and ethical plastic surgeon can develop a plan based on your anatomy and give you the outcome that you desire.  I see absolutely no point in diagnosing someone with tuberous breasts or restricted base deformity.  Stigmatizing a young person can have an effect on the way they perceive the outcome, even if it is outstanding.

Hello and thank you for sharing your concerns about your breasts and providing photographs.  
The short answer to both your questions is no.  If interested in improving your breast size, you would benefit from an implant.

The long answer involves discussing the typical components of tubular/tuberous breasts and how to address them...  These include a widened areola, constricted/shortened lower pole (i.e. area between your nipple and inframammary fold), herniation of breast tissue through the nipple areola complex, and a narrow breast base.  You don't have any of these elements of a tubular/tuberous breast.
The next step for you is to find the right board certified plastic surgeon who specializes in aesthetic plastic surgery.  In your consultation, be sure your surgeon addresses all your concerns and discusses the breast augmentation surgery details including the position and size of the incision used, the type of breast implants available, the risks and benefits of the procedure, recovery time, and post-operative course.  Also, be sure to see plenty of before-and-after pictures in women who have a similar breast appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.

And lastly, I think the most important component of the consultation is to establish a good connection with your plastic surgeon.  It’s the connection that allows you to clearly define your desired breast outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.

For more information on Breast Augmentation, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS 

Hello and thank you for your question and sharing your photos. There is nothing wrong with your breasts. If you wish to aesthetically improve your breasts, you are a good candidate for breast augmentation. Topics to discuss with your surgeon are type of implant (gel vs. saline, smooth vs.textured), location of incision (peri-areolar, inframammary crease, arm-pit) and location of the implant (above or under the muscle). There are advantages and disadvantages to each technique. 
In term of implant type, saline or gel implants, each have their own advantages and disadvantages. Gel implants have a more natural feel and tend to have less rippling (implant visibility) compared with saline implants. Patients with gel implants are recommended to have periodic surveillance MRIs (every 3 years) to check for rupture/leak. Having said all that, both gel and saline implants can give nice natural results. Ask your surgeon to discuss these options with you. 

As far as texturing and shape are concerned, textured implants have been linked with a rare form of local lymphoma (also known as ALCL). Shaped implants can rotate in the pocket and cause  problems. I would only use smooth round implants, which give very nice and natural results. 

In terms of the incision, inframammary incision is a common approach that gives great access for creation of a natural pocket, heals very well and can be hidden under bikini. Periareolar approach can be utilized in patients with medium to large areola diameter. Trans-axillary approach is more challenging and associated with higher incidence of implant malposition, particularly in inexperienced hands. Additionally, if a revision is required, additional inframammary incision will likely need to be made to access the implant pocket.

Placing the implant under the muscle is associated with a smoother and more natural upper pole slope., and less risk of capsular contracture. Placing the implant above the muscle, in particular in thin-skin individuals can have the downside of visible rippling.
Regarding the implant size, many factors including patient's desired breast size, skin envelope (both quality and quantity) and breast width diameter among others are important in selecting the implant size. Choosing the right implant should be a shared decision between you and your plastic surgeon. In a typical consultation, you try a variety of in-bra sizers and in combination with several other measurements that your surgeon will do, the final implant volume is selected. would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Best,
Pejman Aflaki, M.D.

Johns Hopkins-trained double board-certified plastic surgeon