See How Liposuction is Performed Liposuction or Lipoplasty is performed to sculpt the body and remove unwanted localized deposits of fat from specific areas. Over the years, several techniques of liposuction had evolved. Liposuction can be done under general anesthesia or under local anesthesia and mild sedation depending on the type of surgery and specific patient. Therefore, it is advisable to consult your physician to review what type of procedure would be most appropriate. Tumescent Liposuction Technique, a solution of very dilute lidocaine, a local anesthetic and epinephrine, a capillary constrictor is first injected into the subcutaneous fat. The targeted tissue then becomes swollen. A tiny incision is made in an inconspicuous location on the skin. Then a suction tube is inserted through the incision. With high pressure vacuum, fat’s cells are extracted trough this too.