Local anesthetic solution is placed in the fat compartment to be removed. The area swells from the fluid. The tumescent local anesthetic fluid causes temporary blood vessel constriction in the skin and fat and thus decreases blood flow to the area. The blanching of the skin is due to this important effect. Because the blood vessels are constricted, damage to vessels is minimized with tumescent technique liposuction. The chest and abdomen are being treated in this man.