The treatment of lipedema with tumescent liposuction requires multiple procedures. Tumescent anesthesia is a surgical technique for delivery of local anesthesia. The procedure may be performed with tumescent or local anesthesia, such as with lidocaine. Tumescence is the quality or state of being tumescent or swollen. As a result, the clitoris becomes tumescent to accommodate the increased intracavernosus pressure. The petiole is very large, long, and tumescent (swollen) from the middle up.