It is necessary to fix the nipple in tuberous breast? (photos)

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation.  Always insist on a board certified plastic surgeon.

In general, yes, it is recommended to correct the areoles when treating tuberous breast because they can remain puffy afterwards however if that doesn't bother you and you'd prefer to have puffy nipples rather than scars around them it's totally reasonable to leave them alone. Hope that helps! 

Hi- from your photos your breast doesn't not appear to have herniated breast tissue through the nipple areola complex as happens in tuberous breast deformity so it does not look like you need to have it addressed. You may have a slight constricted lower pole which will be improved with shaping the breast tissue and implant placement.