During a lip reduction surgery, the surgeon will carefully remove a specific amount of tissue from the lips, usually from the red part of the lips known as the vermillion. The procedure is typically done under local anesthesia, and the surgeon will make precise incisions along the natural contours of the lips to minimize visible scarring. After the excess tissue is removed, the incisions are carefully closed using fine sutures. The goal is to create a more balanced and proportionate appearance to the lips, ensuring that they still retain a natural shape and contour.