Does the areola shrink back to previous size when implants are taken out?

Hi seen your concern for breast implant removal and areolar reduction without additional scar well in that case the option will be to get your implant removal in the previous scar incision itself and wait for 6 months and give enough time for changes to occur and still not happy with the size of the areola which has not considerably reverted to the desired size you expected following removal then think of correction later because the areolar shrinkage depends on the size of implant you had and the time duration it was in situ along with the skin thickness and laxity hence a good preoperative assessment with your surgeon will help out to sort the issues.

Thank you for the question. The areola skin should "bounce back" to some degree, just like the remainder of the breast skin will contract back with time. Whether it will  return to its pre-breast surgery size cannot be predicted however.   If in doubt, I would suggest that you avoid circumareolar incisions and/or breast lifting unless necessary at a second stage.  Generally speaking, what your breasts will look like after explantation depends on several factors such as: the quality of skin elasticity (the better the elasticity the better the skin will bounce back), the size of the implants used (the larger the implant the more trouble you may have with redundant skin), and the amount of breast tissue present at this time (which may have changed since the time of your breast augmentation).Life experience since your breast augmentation procedure, such as pregnancy or weight gain weight loss, will potentially influence the factors discussed above. If you take these factors into consideration and apply them to your specific circumstances you may get a good idea of what to expect after the implants are removed.Patience is definitely indicated after removal of breast implants; it will take many months for the skin to “bounce back” and for you to see the final appearance of the breasts. When the time is right, seek consultation with board certified plastic surgeons who can demonstrate significant experience helping patients with revisionary breast surgery. I hope this, and the attached link (dedicated to breast implant removal surgery concerns), helps. Best wishes.   

If you finally decide to remove implants without renewal... do it without removing any extra skin, you are right with your concerns.