Very small breasts with large areola. Are they tuberous and can I correct with an implant and get a good result? (Photos)

It does appear that you have a mild form of tubular breast deformity. Ideal breasts are comprised of evenly distributed tissue while tuberous breasts are characterized by tissue that is concentrated directly underneath the protruding nipples. Because of this, a common treatment technique involves releasing this constricted breast tissue by making internal radial incisions that allow it to splay out properly. These incisions are done internally so the patient doesn't see anything externally. In most cases the Plastic Surgeon will suggest the placement of an implant, typically in the sub-mammary position to better influence the breast’s shape and to add greater volume. If excess or sagging skin is present, surgeons may recommend performing a breast lift as part of the procedure as well.Patients with severe tuberous breast deformity may undergo tissue expansion, infra-mammary fold lowering and reduction to the large nipple and/or areola before the implant is inserted.It is possible to have a beautiful result following surgery!

Thanks for the question. You are a good candidate for an breast augmentation procedure. As you have enough breast tissue, gel-filled anatomical implants about 250-350cc can be used. Using implants will be the best decision for you. I wish you all the best. 

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.