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

where your areola is cut away and moved, you should let your surgeon know what you want and what size you want (not everyone wants smaller areolas but most people do).  If you want a more jagged edge, that can be customized to your procedure as well so no, you do not have to have the cookie cutter look after this procedure.

Hi there just_bren and thanks for posting,Most patients want a smaller rounder areola, but it is certainly possible to vary this depending on patient preference.The final diameter is not totally predictable as there is always some stretch in the recovery phase but you can certainly trend to smaller or bigger as you desireBest wishesRichard