Would scarring look worse after an areola reduction?

Any incision around the areola will leave a scar.  However, areolar reductions are usually very satisfying to both patients and doctors.  They can be done as a stand alone procedure, or a part of a breast lift.  An in-person consult with a board-certified plastic surgeon would give you the most information.Best of luck. 

Based on the information given you would likely be a great candidate for a breast lift or perhaps a breast reduction. Both of these procedures include reducing the size of the areola. Once you are ready meet with a board certified plastic surgeon near you for a consultation. I've included a video that I hope you find helpful.

Areolar reductions work very well and the attempt is to hide the scar at the areola skin interface. I use a buried permanent suture which helps slow / stop the widening. Good LuckStephen M. Davis, MD, FACSGreen Hills Plastic Surgery

Because the appearance of a scar can be subjective, it would be best to find a board-certified plastic surgeon and ask about scarring. He or she can show you before and after photos to give you an idea of what the scarring might look like.Of course, scars vary from person to person. Some are genetically favored to heal with insignificant scars, while others develop raised and/or wide scars. You should show the plastic surgeon other scars you have so that he/she can assess your scar potential.Most people heal very well after an areolar reduction and are happy with the results. In my practice, the procedure is associated with a high satisfaction rate.