Liposuction is one of the most popular plastic surgical procedures performed. This is done under general anesthesia and as an outpatient procedure. Patients who undergo large volume liposuction may have to be kept overnight at the surgery center for observation and fluid management. The typical procedure involves ultrasound assisted and suction assisted liposuction. Garments are worn post op. Bruising is the norm and may take weeks to resolve. Swelling may persist for months. During surgery, intravenous fluid with lidocaine and epinephrine is injected into the fatty layer to be suctioned to reduce blood loss and provide some initial post-operative pain relief. Common areas suctioned are the neck, thighs, abdomen, chest and hips. Patients that are near or at their ideal body weight are the best candidates for liposuction. Weight gain after the procedure will negate the positive gains produced by the procedure. Cellulite or rippling, uneven skin over fatty deposits is not improved by liposuction.