There is no one specific way for breast reduction surgery to be performed. Every patient is different and the technique used must be fit to their specific circumstances. For example, your surgeon may either conduct a minimally invasive surgery or an open surgery based on things like your age, medical history, general health, and breast size or shape. You may also either be put under general anesthesia or regional anesthesia with intravenous sedation. Once you are properly sedated, your surgeon will make the incision into your breasts. There are a few different types of incisions that can be made, and your surgeon will choose the one best suited for you. Once the incision is made, the nipple is then repositioned and, if necessary, the perimeter surrounding the areola is reduced. Breast tissue is then removed and the breast is lifted and shaped.  Once the desired shape and size are achieved, your surgeon will make sutures deep within the underlying tissue for support. Then, sutures, surgical tape, or skin adhesive will be applied to close up the incisions.