Anesthesia:
The procedure is usually performed under general anesthesia.
Incision techniques (depending on the case):
Periareolar: around the nipple
Lejour technique: modern technique with minimal scarring, incision around the nipple and vertical downwards
T-shaped incision: additional horizontal incision in the submammary fold (rarely necessary)
Tissue remodeling:
The mammary gland and skin are tightened, and the nipple-areola complex is elevated.
Suture closure:
Fine suture technique to minimize scarring, often with resorbable stitches.