In the removal of localized fat there are two approaches one surgical and one chemical. Liposuction which has been used for 25 years involves injection of large amount of diluted anesthetic and the introduction of instruments to remove fat. It causes a lot of swelling and a few small scars. it can be used on the belly, saddlebags neck etc. At times it can reslut in uneven appearance and if a large amount of fat is removed you can gain fat in other areas. About one third experience an increase in breast size. The swelling usually lasts for weeks and traditionally a compression garment is worn. For smaller areas liposuction has been replaced by lasers which dissolve the fat. This device leaves smaller scars but can not remove large areas of fat. Mesotherapy is a European technique for localized fat removal using chemical injections. it requires 3-4 sessions spaced weeks apart. it cna be used on multiple small areas where liposuction is not approriate. It can be used as a touch up to liposuction. It results in localized swelling for one week each session. it requires a commitment of aobout 3-6 months to reach the desired endpoint. It is also not recommended for very heavy people.It is less expensive than laser or traditional liposuction.