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Breast reduction surgery will take about two to five hours, sometimes longer. Your surgeon will make a cut around your nipple then downward on the breast in the form of a keyhole.The operating team will remove extra skin, tissue, and fat from your breasts and reposition your nipple.ou will need to take at least one week off from work or school for breast reduction surgery. Some people need two weeks, but each situation varies. Your surgeon will instruct you on follow-up appointments for removing bandages and stitches.