Do I have tuberous breasts and can the size of my nipples be reduced? (photos)

Based on the description and the photo you provided, it seems you may have a mild form of tuberous breast deformity. This condition often features characteristics such as constricted breast tissue at the base, puffy and enlarged areolas, and a lack of fullness, particularly in the lower parts of the breasts. To confirm this and discuss your surgical options, a consultation with a qualified plastic surgeon would be essential.
For addressing your concerns about the size of your nipples without undergoing breast augmentation, which you mentioned could exacerbate your back problems, you might consider areola reduction surgery. This procedure can effectively reduce the diameter of the areolas without the need for implants or more invasive surgery.
It’s important to note that any surgical alteration to the nipple and areola area, including areola reduction, may impact breastfeeding capabilities. The procedure often involves the removal of some tissue, which could potentially affect the milk ducts. Therefore, if breastfeeding in the future is a consideration, make sure to discuss this with your surgeon to ensure the surgical plan aligns with your needs and minimizes the impact on breastfeeding.

I appreciate your concerns, and it appears from your photos that you may have a mild form of tuberous breasts because your areolas appear to demonstrate modest herniation. Areolar reduction may be an option to correct this as you do not have any other signs of tuberous breasts. Come see me or another board-certified plastic surgeon in our area to explore the best options for you. Good luck.