The surgical procedure of lip reduction is well planned, and the surgeon will be precise with the technique.. The surgeon normally starts by drawing ellipse of the excess tissue on the lips that will be removed. Incisions are made inside the lips so the resultant scar will not be easily visible to other people. The surgery is performed under Local Anesthesia and will require about 1-1.5 hours of operating time. The wound is then carefully stitched with small absorbable stitches to minimize visible scarring and promote proper healing.