Areolae always enlarge after this surgery and it is just a matter of how much
The challenge with areolar reduction is just what you describe. No matter how small your breasts and how small your areolar reduction, SOME size always returns. This is regardless of technique and whether we use a permanent or dissolvable suture. The temptation on part of doctors and patients is to perform a very aggressive reduction and make up for this, when in fact, this causes more recurrent stretching. I tell patients they may need a second procedure and usually this provides a more predictable result. Don't forget that this surgery also flattens your nipples more and more.