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The removal of fat is accomplished by a suction cannula creating tiny passages through the fatty layers. This is done through a cannula (a hollow instrument) inserted subdermally (under the skin).
A strong vacuum is applied to the cannula. The technique of tumescent liposuction has become especially popular, in part because of its purported safety.

The solution is saline (salt water) to which has been added the local anesthetic lidocaine to numb the area and the vessel-constrictor epinephrine (adrenaline) to help minimize bleeding.
Tumescent liposuction is now the most used form of liposuction. Tumescent liposuction can be fatal.

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