Areola reduction for tuberous breasts? Is it possible to only have an areola reduction and not the full procedure? (photo)

Yes it is definitely possible to reduce the areolas without having implants placed. You point out another aspect of the procedure which is worth thinking about, which is the natural expansion and contraction of the areolas. If a permanent suture is used that does not occur, and this can feel unnatural. Consider use of an ADM (Strattice) donut instead.

Thank you for the question and for providing photos. Yes, it is possible to have areola reduction only without the addition of an implant, if this will meet your goals and expectations. If you are not keen on an implant based augmentation, then using your own fat (fat transfer) can be an option if you have adequate donor sites. This will require an assessment in person. Best of luck

From the photos it appears you have some constriction to the breasts. If you are not interested in implants you can consider areola reduction. This would improve the nipple herniation and downsize the areola. If you wish to address asymmetry or stretch the tissues then further surgery would be needed.