Liposuction. Image 3 of 15. Local anaesthetic being injected into the area to be used as the access hole (circle) on the hips of a middle-aged man prior to liposuction surgery. The area of excess fat has been outlined. Liposuction is a procedure that uses a vacuum pump to remove excess fat and sculpt the body. As with all surgery there is a risk of infection, excess bleeding and other complications. For a sequence showing liposuction surgery see M590/339 to M590/353.