20-year-old with triangular shaped breasts. Are they tuberous and would an augmentation help? (photo)

Thanks for sending photos.  It does look like you have tuberous breasts and yes, a breast augmentation should improve the appearance of them & give you a nice result.  You may want to consider reducing your areolas for the best result, but you can determine that with a physical exam with your surgeon.  Best of luck!

Your photographs show your breasts are too low and too far apart with inadequate cleavage.  You would benefit from breast lifting alone, if you do not desire implants.  Using only a circumareola incision it is possible to lift your breasts higher to create upper pole fullness, more medial to increase your cleavage and reshape them to increase your projection.  If you are dissatisfied with your cup size, implants can be placed at the same time.  At age 20, only saline implants can be used.  Whether the breasts are tuberous or not is irrelevant, your goal is to achieve beautiful breasts.  This can be done using The Mini Utlimate Breast Lift or combined with implants, if you wanted larger volume.

Best Wishes,

Gary Horndeski, M.D.