Woman with big fat sausage fingers. Can liposuction , reduction and skin tightening be done on them? (photo)

Liposuction will not be effective for the fingers and it can certainly cause damage if attempted.Kenneth Hughes, MD

Excellent question- but unfortunately no. It could harm nerves and tendons. 
Truthfully, the only way to improve this area is with weight loss.
It's always best to ask.
Dr Chris Saunders 

Thank you for providing the picture.  Unfortunately we can not do liposuction to your hands or fingers.

Thank you for your question.  I would not recommend any fat reduction or excisional procedures on your hands.  This can result in scarring and may ultimately restrict your motion or hand function.  We have good methods of addressing the hollowing that occurs to most hands with aging, but your hands have a youthful look.  If you still have concerns, I recommend visiting a board certified plastic surgeon.  

Typical fat reduction procedures are not appropriate for fingers.  If your body mass index is not high (you are not overweight) this may be a family trait.  Another possibility, if your weight has not increased over normal and the increase in your finger fullness is new, is an inflammatory disorder.If your weight is elevated, bring it down to normal range with a weight reduction diet and see if your fingers get slimmer.  Most people lower their ring size with weight normalization if that is an issue.Best regards!