Small incisions are made and the excess fat is suctioned out through these small incisions.  Sometimes a tumescent technique is used where a solution of saline (delivery and tumescent agent ), Lidocaine (pain reliever) and epinephrine (prohibits bleeding) are injected into the targeted area.  This technique's purpose is to engorge the tissues with  the solution for a firmer working area and the fat cells (which are softer) are suctioned out.  The epinephrine prohibits bleeding during the operation and less blood is lost during the procedure.

There is a technique which involves ultrasonic waves.  These ultrasonic waves excite the tissues water molecules (fat molecules being the target) and literally melt the fat into a liquid for ease of removal by suction.  Unfortunately, each patient's molecules may react differently or in the case of unskilled surgeons, may improperly handle the equipment resulting in severe burns.

Either way, the targeted fat is suctioned out, sutures are sometimes used in the closure of incisions, a bit of surgical tape or Steri-Strips? are placed over the incision and a support garment is worn for proper, compact healing.