Is it possible to get an areola reduction and release the constriction of the breast first and wait to get implants later on?

Augmentation isn't necessary to correct the tuberous nature of some breasts. By the way, tuberous, not tubular, is the correct term for the deformity as it describes breasts that are shaped like a tuber. In fact, it can be beneficial to do the procedure without the augmentation because the implant puts stress on the periareolar scar tending to make it not heal as finely.

I recommend a new technique called The Mini Ultimate Breast
LiftTM. Using only a
circumareola incision it is possible to reshape your breast tissue creating
upper pole fullness, elevate them higher on the chest wall and more medial to
increase your cleavage. At the same
time, the size of the areolas can be reduced.
If you are satisfied with the volume of your breasts then you do not
need implants or fat transfer but if additional volume is desired it can be
done simultaneously or later. If you gain
weight or have pregnancies, your breasts will expand and you may not need added
volume. Best Wishes,Gary Horndeski, M.D.

We perform many corrections of tuberous deformities in our practice.  The ideal treatment for you depends greatly on the degree of each deformity:  size of the areolas, how tight the breast tissue is, how constricted the base is, if there is an element of herniated glandular tissue, the texture of of your skin and breast tissue.  In some cases I perform a circumareolar mastopexy (Benelli) to reduce the areola and the herniation and reshape the breast first; then at a second stage place implants in.  Photographs are helpful: but examination by a board certified surgeon with great deal of experience with these cases is the best way to proceed.

Correction of tubular breasts can be complex and usually areolar reduction, release of the constricted tissue, and placement of an implant is the indicated treatment. It is best to put the implant in at the initial surgery because the implant helps to improve the shape and I am afraid that placement of the implant at a later date will not give you as good a result. Make sure to find a plastic surgeon who in experienced in this procedure.

You can reduce areola size and release constriction without getting implants but you would need to be evaluated to determine if this is recommended. For those with tubular breasts the implant is used to help reshape the breast once the constriction is released. In addition, a lift is often needed to improve the overall aesthetic. See a board certified plastic surgeon near you for a consultation to learn more.

This is contributed to by a herniation of the nipple.  The areola can be reduced and the herniation addressed without augmentation but, if you are considering augmentation, by doing them both at the same time you will experience one anesthetic, one recovery.

It is possible that your plan will work but in order to know for sure photos would need to be reviewed and an examination will be needed.  Seek out a consultation with an experienced plastic surgeon and your options can be reviewed.  

You actually can have the nipple constriction and herniation repaired and have implants later on if you wish. You should also consider fat grafting to the as this too will fill out and relax the skin envelope, again without an implant.

Very difficult to say.  Factors include the absence of symmetry in the breasts which could be worsened by a two stage approach.  Often tuberosity takes two stages anyway to finesse the result so adding another level might do worse rather than better.

The procedures can be done separately but I would have to ask you why you would want to. In my practice most patients with tubular breasts and larger areola have areola reduced, the tubularity corrected and the breast enhanced in the same setting though I have done the correction without implants in those patients not desiring to be larger.

Dr. Corbin