How can I make my areolas smaller? (Photo)

Placing ice on the nipple/areola may cause the skin to contract, but it will only be momentarily. For permanent reduction in areola size you will need to consider surgery. This will involve an incision that goes around the areola. It typically heals nicely and is well hidden. Visit with a board certified plastic surgeon near you to learn more.

Thank you for your question and photo.  There is not a non-surgical, or "natural," method of reducing the size of the areola - surgical correction involves excision of areolar skin and is often performed as part of a breast lift.  The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.

Best of luck!
Dr Schwartz

Thank you for the question. There is no "natural" way to reduce areola size effectively.
Areola reduction surgery involves circumferentially removing areola skin around a smaller areola design. This procedure can be done under local or general anesthesia. It is often done as part of a brest augmenation/lift, breast lift or breast reduction procedure.
Patients should be aware that despite best efforts scarring will be visible and potentially abnormal ( possibly thick, raised and/or pigmented). Some areola asymmetry may also be present after surgery. Their is a small chance that a patient may lose sensation.
As with all plastic surgical procedures, patients must weigh the potential benefits against the potential risks/complications while making decisions.
I hope this, and the attached link, helps.