4 Weeks post Liposuction. Does this look like bad results or am I still healing? How can I fix this? (photo)

Thank you for your picture. You still have some time for swelling to decrease over the next 2 to 5 months. I would give this as much time to settle as possible. It appears that you have some contour irregularities but time will tell. If you do you have contour irregularities this can be improved with judicious revision liposuction and possible fat grafting. 

I can't guarantee that you will get a good result but it's much too early to make a pronouncement. Contour irregularities in the short-term are common after liposuction.

You are likely swollen and it would be best to consider ultrasound or massage treatment.  I would suggest waiting 3-6 months prior to considering a revision.  It may be good to get a second in person opinion.  Best, Dr. Emer.

Although the swelling will improve with the passing weeks, I am afraid that the visible contour defects that you have are permanent. You did not mentioned whether or not you've had kids or your age. I have frequently found that middle age, child bearing women, even when they are thin, just don't have enough elasticity for that skin to rebound after a liposuction of the abdomen. I also don't know if you had lymphatic massages with the use of ultrasound but we routinely advice our patients to do so.You ave to wait it out at least another 3 months. It's possible to go back in, release the tissue and perform a fat transfer in an attempt at contour correction. Good luck

Thank you for your question. I understand your concerns, however, you are still very early in the recovery process. It can take up to 6 months for the swelling to resolve and at that time you can determine if there is are contour abnormalities. I would continue to wear a garment to help with swelling and let your plastic surgeon know your concerns. Good luck.

I can appreciate your concerns.  But it is too early in your recovery to determine if any contour irregularities will result.  I have seen some of my own patients look like this in the first 1-2 months after aggressive liposuction.  Fortunately their skin and contour settled down and there is a very good chance yours will as well.  Either way I would try and wait at least 4-6 months before making any final decisions.  Options down the road include revisional liposuction, or Coolsculpting which can help isolated contour irregularities after liposuction.  

You are likely still swollen and should give it at least 6 months to settle down before considering additional procedures. Best of luck.