Large volumes of Lacted Ringers (buffered saline or salt water) and anesthetic solution (Lidocaine) with adrenaline are injected under the skin. This is done through tiny stab like incisions (usually less than 1/8 inch long or 3mm). The fluid firms the skin (makes it tumescent). A liposuction cannula or microcannula is inserted through these tiny incisions and a high vacuum removes the fat. The small wounds are closed with suture or tiny tapes (steri-strips).