Although breast reduction can (and is) performed under local anesthesia with sedation, this would not be my preference or recommendation. I find that the use of general anesthesia provided by a board-certified anesthesiologist provides for optimal patient comfort, immobility, experience, and outcomes.Best wishes.
NO! Especially at your older age it would be safer to have anesthesiologist in control of your well being during this 3 hour++ surgery.