Age 30, former anorexic, 32D bra. Are my breasts tubular--what options do I have to achieve more normal looking breasts? (photo)

You do not have tuberous breasts. You will benefit from a breast lift first and then if you decide 3-6 months later that you want larger breasts implants can be placed. This plan is the most predictable way to give you a lasting result. Good Luck!

Your breasts are not tubular, but they are ptotic, meaning they simply sag.  A breast lift is your best option, but without an implant your breasts will be on the small size. That's fine, because an implant can always be placed later if you want them larger.