What grade of tuberous breast am I? (Photos)

mcrose1.   Your deformity is significant, and I would recommend a 2 stage reconstruction. The first stage would be placement of tissue expanders, as your skin is very tight. Once inflated, they can be exchanged for silicone implants and further refinement can also be done. I am not sure how your health system works in Australia, but it should be covered because your condition should be considered a "birth defect". Seek out a board certified plastic surgeon with lots of experience with breast surgery because your case is significant, but correctable! Good luck!

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation.  Always insist on a board certified plastic surgeon.

Thank you for the question and pictures. I think your breast photos all of the characteristics seen with tuberous (constricted) breasts. For example, the distance from the areola to inframammary folds seems to be tight and relatively short. Your inframammary folds seem to be widely spaced from the midline of your chest. The areola do demonstrate some features associated with tubular breast such as an increased width and “puffiness”.

Generally, correction of tuberous breast anomalies involves breast augmentation with areola reduction / mastopexy procedure. The distance from the inframammary fold is increased (to create a more rounded out appearance). Proper implant positioning improves the distance (cleavage) between the breasts. The areola reduction helps to treat the pointed and "puffy" appearance of the areola.In your case, if the appearance/shape/size of the breasts are a concern, you may be an excellent candidate for corrective surgery. In my practice, I would certainly recommend the use of silicone gel breast implants placed in the sub muscular (dual plane) position.  Sometimes, based on careful physical examination and careful communication of goals, I find a two-staged approach helps minimize  risks of complications and improve final aesthetic outcomes.

When you are ready, please make sure you consult with well experienced board-certified plastic surgeons who have significant (demonstrable) experience with this type of surgery. 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. Patient should be aware that the final result will take months to see and that they will need to be patient and that revisionary surgery is more likely than in patients who do not present with tuberous (constricted) breasts. 

The good news:  in our practice, some of our happiest patients have been patients who have started out with constricted/tuberous breasts.I hope this, and the attached link (dedicated to corrective surgery for patients with tuberous/constricted breasts) helps.  Best wishes.