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

You have breast ptosis (sagging) and asymmetry

You would benefit from a breast lift with some resection of breast tissue from your left breast to achieve symmetry

     Your breasts have elements of constriction one greater than the other.  If you do not want more size, a full breast lift can give you a nice result.  Find a plastic surgeon with ELITE credentials who performs hundreds of breast lifts each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

There are varying degrees of tubular breasts - high folds, constricted lower pole, prominent nipple-areola with breast tissue protruding through the NAC.  You have some of these characteristics but I certainly would not consider you a severe tubular breast but rather a forme fruste (attenuated) tubule breast.  It is very common - much more common than a severe tubular variety.  I would proceed with a modest augmentation and simultaneous mastopexy.