www.tumescentliposuctionguide.com. Yolanda's Testimonial about Liposuction, performed by Dr. Hall. The term "tumescent" means swollen and firm, which is how this technique prepares the fatty tissue for removal. In tumescent liposuction, a solution of lidocaine (a local anesthetic) is injected into the fatty area along with a solution to constrict the blood vessels (typically epinephrine). The lidocaine injected in the tumescent liposuction procedure is absorbed by the fatty tissue and causes the tissues to become swollen and firm. A large area of fatty tissue can be numbed using this technique, allowing for a large area of liposuction to be performed while the patient is under local anesthesia.