In their paper "The classical Plateau problem and the topology of 3-manifolds", Meeks and Yau claim that for any fixed closed Riemannian 3-manifold $M$ there is a lower bound for the area of non-trivial two-spheres.  Furthermore, the least area such is embedded.

A sketch of the desired proof: 

We first induct on $s(M)$: the number of essential spheres in a maximal system in $M$.  If $s(M) = 0$, then $M$ has universal cover $R^3$ or $S^3$, and we are done using the proof of Alexander's theorem, say. 

Suppose that $S$ is a minimal area essential sphere in $M$, and so is embedded.  Let $T$ be the given sphere with small area, which is necessarily inessential.  
If $T \cap S$ is not generic, then move $T$ slightly to make it so.  We now induct on $|T \cap S|$.  If $T \cap S = \emptyset$ then we can cut along $S$, cap off with a ball, and reduce $s(M)$. 

If not, then let $\alpha$ be an innermost curve of intersection.  Thus $\alpha$ bounds a disk in $S$ that has area less than either disk it bounds in $T$.  (This uses the fact that a surgery of an essential sphere yields at least one essential sphere, and the minimality of $S$.)  So we may surger $T$ to get a pair of inessential spheres.  (This is because both of them have area less than that of $T$.)  This reduces $|T \cap S|$ and we are done.