Thank you for your question regarding what to do with your areolas and possibly undergoing areolar reduction. Based on your pictures, I would suggest an areola reduction. Areolar or peri-areolar tattooing would make your areolas worse, not better. Your areolas should be reduced surgically. This is achieved by excising a donut shape area of skin around the areola. This is performed under general anesthesia or IV sedation. Areolar reduction takes approximately 1 hour. I think you will obtain excellent results. The areolar scar heals very well. You can also achieve a mild to moderate breast lift or mastopexy at the same time. The areolar reduction procedure is often called the donut mastopexy because of the shape of the excess areola skin that is removed shaped like a donut. Thank you for your question regarding what to do with your areolas. If you have any more questions regarding your areolas, please contact my office. Please seek an experienced, board certified plastic surgeon with significant experience performing these types of breast surgery. Do your research. Make sure your chosen plastic surgeon has performed at least 100 areola reductions. Make sure they have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. Good luck! Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon , Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)