Liposuction is a method of removing unwanted fat through small holes in skin.Tumescent liposuction is a method in which liposuction is performed entirely under local anaesthesia, without any additional intravenous or general anaesthesia. In this method, higher doses of lidocaine are used, often 45 mg/kg, in a highly diluted form in saline along with epinephrine for vasoconstriction. Usually, around 5-6 L of fat is aspirated. This method has been remarkably safe and effective. Powered liposuction, laser liposuction, ultrasound and radiofrequency liposuctions use devices to enhance the efficacy of manual tumescent liposuction. The method has stood the test of time, in both effective and safe outcomes