Tubular (Tuberous) breast correction with breast lift and fat transfer in public health care

I'm 23 years old and seriously thought about a surgery for less than a year. I have been ashamed of my breasts since teenager, but I read somewhere that they could develop until 20 years old, so I waited. For long time I didn’t considered plastic surgery as an option because I thought it is cheating and you should just be happy with yourself the way you are. Three years ago, I noticed in local news paper a story about a girl who had tubular breasts. Then I realised that I might have these under developed breasts too. Somehow, I still thought that maybe I don’t have this underdevelopment, they are just small. But as you can see in the pictures I don't have any fat under the nipple and my nipples are puffy and pointing down when they are soft.
Last spring, I went to consultation for a surgeon that I had read about to be good to correct tubular breasts and I also had seen nice results from him. He said immediately that yeah you have tubular breasts. At the same time, it felt bad to hear and I dropped some tears but also, I was relieved that I have a reason to be unhappy with my breasts. I told I like small breasts and I want as natural look as I can get. He recommended me 340cc (or even 360cc, can’t remember) and periareolar mastopexy to lift the breasts and nipples. I feel unsure about the mastopexy because that causes scarfs around the nipples and there is a higher risk to injure the nerves of nipples and affect the breastfeeding. But with tubular breasts the chance to be able to breastfeed is smaller anyway. On the other hand, the shape of the breasts doesn’t change that much without mastopexy and I want this because of the breasts shape. I have quite big chest muscles and because of that, tubular breasts and my hobby where I need chest muscles, he recommended the implant over the muscle.
Even my breasts look terrible in pics, I sometimes even like them when the nipples are hard, so I’m still not 100 % sure about the surgery. At first, I was most afraid what other people think but it’s not about that so much anymore. I can show my before pics for those who judge me. :D Now, I’m more afraid that: What will the result look like and scarfs in the nipples? How they look while I’m lied down when they are over the muscle? And how they look when I’m older, or what correction surgeries I must go through. And some other questions too, but I will find out and I have another consultation in two weeks.
Here are the before pics anyway and two 3D options done for me. Shape is quite different in them. In my second consultation in June I was quite sure that I want the 285cc, but now I think a little bigger would fit into my large chest better, because it has longer width in implant. So, there is a surgery time reserved for me in December, hopefully I am brave enough to go!

I decided a month ago to postpone the breast augmentation, since I might get it done in public health care. Now I'm wondering should I prefer implants or fat transfer if I can get it done in public health care and affect the way of the treatment. I think the doctors in puclic health care prefer fat transfer but it usually takes several treatments to achieve the final results and that can take almost two years. I also think that the shape of the breasts doesn't change so well with fat transfer.

At the same time I'm a little bit sad that I coud have had the implants already on this week. So, the treatment is propably in fall 2020.

In May I got in the waiting line of public health care. 4 months later I got a call that could I come to surgery in two weeks. And now I'm finally going to the surgery! In the surgery they will make a lollipop breast lift and transfer some fat from my thighs. In public sector they don't put lot of fat but I might have another surgery later where they transfer more fat if that is needed. But for me it is important to reshape the breasts and the size doesn't matter. Can't wait to see how this works!