Upper and lower abdominal fat are addressed, as well as body fat on the mid-to-lower back, hips, and sides. Milwaukee cosmetic surgeon, Dr. Timothy Zelko, is a pioneer of the Tickle Liposuction technique, which is a gentle form of tumescent liposuction, that may be used for 360° abdominal reshaping. Lipo 360 does not refer to a specific device. It just means the fat is refined all the way around the abdomen. Some doctors use older techniques. At Zelko Aesthetics, the liposuction we do is Dr. Zelko’s innovative Tickle Lipo procedure, which provides the same great results — without having to undergo general anesthesia.