1 Local or general anesthesia depending on the work and your preference.
2 Making incisions around the nipple and the areola.
3 Removing skin, fat and tissue through excision or liposuction.
4 Removing underlying tissues and reshaping the breast to become smaller.
5 Repositioning the nipple and areola to fit the new size of the breast.
6 Ensuring breast symmetry before closing the incisions.
7 Closing incisions with sutures and applying bandages.