I looked at many breast reduction photos and have noticed that most of the areolas look cookie cutter round and small. Advice?

It is certainly possible to "customize" areola size and shape concerns with breast reduction surgery.

My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your concerns, questions and preferences/goals carefully, as well. Working together you will come up with a good plan to achieve your goals. 

Best wishes. 

Thank you for your questions. The final size and shape of the areola can be determined and customized based on your goals. Most patients want a smaller and more symmetric areola and so that is why most surgeons attempt to achieve this goal. However, I have had patients who want to keep their original size and shape and most often those requests can be accommodated. Just discuss your goals with your board certified plastic surgeon.Hope this helps!

The Bellesoma Method
allows the areolas to be whatever side you desire.  The average size is approximately 42
millimeters but I have made areolas as large as 60 millimeters per a patient’s
request.  You can choose whatever size
you desire. Best Wishes,Gary Horndeski, M.D.