How does Heights Plastic Surgery perform a breast reduction? January 25, 2023 A breast reduction is an outpatient procedure that typically takes about two to four hours to complete. To begin, general anesthesia will be administered to ensure you are comfortable and pain-free throughout your surgery. Dr. Downey or Dr. Bullocks will reduce the overall size of your breast and manipulate its position to look more natural on your frame. The nipple is typically separated from the outer skin but left attached to its blood supply within the breast tissue in order to position it higher on the chest. In large reductions with nipples set very far from your chest wall, removal and replacement of the nipple may be indicated. After incisions are closed, the surgeon will protect the treatment areas with a supportive bra and surgical dressings.