He uses the tumescent technique, where a saline solution containing lidocaine is first injected into the target areas to minimize the pain and firm the fat, making it easier to remove. The solution also contains epinephrine to constrict the blood vessels, limiting blood loss and bruising. A cannula is then inserted to suction out the fat and liquid. The cannulas used in modern liposuction are much smaller, so the corresponding incisions needed to access the fat pockets are very small, usually not even requiring stitches.