All of this was completed in total silence.Enrico then went to assist Manuel to scrub up in a large sink. Manuel let him scrub both his hands with alcohol gel and wheel him to the trolley so he could open the paper-wrapped gloves."Do you wish to inject yourself?" Manuel asked his client. It took a while for Mr. Smith to measure the exact amount before clenching his left fist and then watching as Enrico adeptly found a strong vein and injected him. It was very fast; Mr. Smith just had time to lie back before he felt the warmth spreading throughout his body."You can get started." he said, his voice slurred.He eventually became used to the hideous sound of the suction pump working. The incisions for the cannula tubes pressed deeply and painfully into the fat. Enrico used his foot to keep the pump working as the fat drained into two big vats. It took three and a half hours. At one point Manuel was concerned: Mr. Smith's pulse rate was at ninety-eight. He used the oxygen mask and waited for the pulse to return to normal.Manuel worked quickly, inserting the tubes and pumping out the fatty tissue. For him, it was a tedious, long-drawn-out procedure. He sat making drawings for the facial work he was asked to complete. Twice during the liposuction Enrico gestured for Manuel to double-check their patient; he also needed his help to turn the big man over to take the fat from his buttocks. Manuel, for all his incapacity, was very strong in the upper part of his body, and together they had been able to move him.One of the most strenuous parts of the suction process was drawing on the tight elastic bandages to make sure the body parts, where the fat had been removed, were held in place. The gauze was wrapped around first, then the bandages, then an elastic corset eased over the belly and chest. In truth, the wrapping this time was perhaps too tight, but Mr. Smith was a very big man and Manuel reckoned he was so macho, he would be able to deal with the constrictions and the painful bruising he was going to feel.