Will areola reduction surgery help tubular breast?

Hello and thank you for your question.
It is harder to speak to your specific situation without photos or a physical exam. However, speaking in more general terms, there are some important points you make about tubular breast correction surgery. Depending on the severity there is usually some combination of breast tissue herniating through the areola causing "puffy nipples" and the tubular shape to the breast. However there is also usually a high IMF (inframammary breast fold)/low nipple to fold distance caused by a deficiency of tissue and volume in the lower parts of the breast. Therefore tubular breast surgery typically includes both a component to address the issue around the areola as well as a component to address the lack of volume/relationship of breast fold and the tissues of the lower part of the breast. This has commonly involved breast implants in one stage vs. expander followed by implant in two stages. However, it is also possible to use fat grafting with your own fat from another site. This has a benefit of being all natural and avoiding the need for an implant; however you may need more than one round of fat grafting to achieve the desired outcome.

You did not post photos, so I cannot be specific. Mildly tubular breasts can often be improved with just areolar reduction and repositioning the breasts. However, implants are needed to expand the base of the breasts. Lifts do nothing for the base. Some women think they have tubular breasts when they are just sagging, Tubular breasts are shaped like tubers, hence the name. If you have a fair amount of excess skin, the areolar incision only will not be enough.