I don't speak for PJRC, but my bet is a slightly smaller module without the USB connector or reset button would not have a positive return on investment. Without a smaller MCU, there really isn't much smaller you could make it and by doing these things, the result would be much harder for hobbyists and small businesses.
If your need includes something of value in addition to the Teensy, maybe you would do well designing and building this board yourself. The schematics and preprogrammed bootloader chip are available from PJRC. Several others have successfully designed their own Teensy boards.
Before you go do that, a good idea is a far cry from success in the market. If it's at all possible to test the market with some prototypes that are slightly too big and slightly too expensive, you're much better finding out whether anyone else is inspired by your dream before you exhaust your time and money.