Would I be a candidate for areola reduction without a lift or augmentation? (Photos)

Even for only the purpose of areolar reduction, as opposed to for breast lifting, circumareolar reduction (or mastopexy, same procedure) is really only good for one candidate: a small, deflated, non-sagging breast that's getting an implant too. Your breasts are full and sagging. In people like you, you get a myriad of unwanted complications including: re-expansion of the areola, irregular shaped areola, thickened scarring around the areola, pleating, flattening of the breast mound, and persistent breast sagging. Whether you want your breast lifted or just smaller areola, your only true choice is a vertical or anchor. The reality is you will have a beautiful shaped breast, fine scars, proper nipple areolar complex position on the mound, and minimal sagging with the correct surgery. That all translates into a breast you will like and know is attractive, giving you confidence. The scars are likely to become inconspicuous in a short time.

Based on the photos an areola reduction alone would not be the best recommendation. It would downsize the areola but would not really lift the breast. There is a chance the areola would stretch again, leaving the surgery pointless. I encourage you to visit with a board certified plastic surgeon near you to learn more about your options.