Can I have a partial areola reduction with a periareolar implant placement? (Photo)

No, the incision will need to be all around the areolae, or the shape will not be round but strange. Sometimes the areolar reduction needs to be done at a second stage if an augmentation is being done. The areola is the most stretchy skin of the breasts. When enlarging the breasts, it also stretches out and some reductions fail.

It appears you are a good candidate for a breast augmentation. The asymmetry of the breasts and areola can be addressed with different types of lifts. It's best to consider both your goals for surgery and what would give the best result. I welcome you to visit us in our Houston office for a consultation. Together we can create a personalized plan that's right for you.

He seemed like an excellent candidate for breast augmentation. The peri-areolar approach is an excellent one for breast surgery and can include the use of silicone implants, especially for women who have larger areolas.
I think you’re a slightly better candidate for breast augmentation then the example you provided because your nipple areola position is not quite as low as hers. Also, your breast diameter is somewhat wider which would be to your advantage in regards to getting a quality aesthetic outcome. A partial areola reduction is possible, but the more of the reduction you choose to have the more non-circular your areola will be.
Removing areola skin from the lower half of the areola only is good as long as it’s done conservatively.
Avoiding a complete circular incision has a lot of advantages in order to maintain a natural appearance. Removing areola skin will change the pattern of pigmented skin from gradually going from non-pigmented to pigmented in the more abrupt change. For women with more blotchy areola borders this can either be an advantage or disadvantage depending on style, preference and aesthetic values.
These are all things to discuss during in person, consultations with plastic surgeons in your community. From my experience plastic surgeons would do a lot of breast surgery often prefer the peri-areolar approach to breast augmentation whenever possible. I think it’s an excellent choice.
Best,
Mats Hagstrom, MD