If underlying breast tissue is removed, wont just other breast tissue push the areola out? Can underlying breast tissue be removed without an areola reduction to fix puffiness? Do areola always remember original shape and make scar, lets say if perm sutures are removed 5-10 years later? Or will the areola stay by itself after a given time? Will areola reduction affect/stretch a nipple piercing hole? Piercing is through base where nipple meets areola.