Does a puffy areola due to tubular breast gets unswollen sometimes?

Dear Nusaiba,
tuberous breasts are not simply small or underdeveloped breasts. The appearance of the breast can range from mild to severe, and typical traits include: enlarged, puffy areola, rather wide spacing between the breasts, very little breast tissue, sagging, higher than normal inferior breast fold, and narrow base at the chest wall.The type of surgery best for you will depend on the severity of your condition.My preferred technique for tuberous breast correction involves a multistep procedure where the breast tissue is released in a radial pattern to prevent herniation into the areola and placement of a custom implant size is in the breast to allow appropriate expansion of the breast in the restricted dimensions. This can often be done in a single procedure but sometimes may require two surgeries.That said, it is best that you visit a board-certified plastic surgeon for an in person examination. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

You do not have tubular, shaped like tubers, breasts. Some women keep somewhat puffy nipples all the time.

The puffiness that concerns you can be corrected as a standalone procedure or can be combined with a breast augmentation. This does not mean you necessarily have tubular deformity. You do lack upper pole fullness in the breasts. If this is bothersome to you it can be addressed with breast augmentation. See a board certified plastic surgeon near you to learn more.

The reduction in puffy areolas with exposure to cold or excitement has nothing to do with tubular breast criteria. The muscles contract which stiffens and shrinks the skin alleviating the puffy appearance.

It is certainly a tuberous breast though not a flourish case. The areola is "puffy" due to periareolar ring which is part of the syndrome. When stimulated or in cold environments smooth muscles contract and drain it. This characteristic may persist after tubular breast surgical correction. Dr Daniel Garcia Paricio

Hi and welcome to our forum!
It is normal for the areola to shrink with exposure to cold or with other forms of stimulation, including hormonal. That is not in itself indicative of a tubular breast deformity.
Tubular (tuberous) breasts demonstrate large puffy areolae, wide spacing between the breasts, minimal breast tissue, sagging, higher than normal fold beneath the breasts, and a narrow breast base.
Visit a board certified plastic surgeon for in-person evaluation and discussion.
Best wishes...