Can a permanent abdominal crease due to an ill-fit compression garment be fixed? (Photos)

Redoing the lipo of the full abdomen is the easiest and most sure fire way of fixing the abdomen results that you have. Undermining the adhesions and also smoothing out the lumps left behind with lipo and quantum to tighten up the skin would make a huge improvement.

Short answer: Yes—this is usually fixable. What you’re describing looks like a tethered adhesion line (the skin has scarred down to the deeper fascia), often triggered by a tight or folded garment early after lipo. Massage, Emsculpt, or RF microneedling (Morpheus8) can help skin quality, but they don’t release the deep tether that creates the crease.
What typically works best 1. Subcision/adhesiolysis + micro-fat grafting: through tiny punctures under local or light sedation, the scar bands are released and a thin layer of your own fat is placed to keep the plane smooth. This is the go-to option for a linear post-lipo crease. Downtime is usually a few days of bruising; a soft, properly sized garment with foam (no hard edges) for ~2–3 weeks. One session often helps a lot; stubborn lines may need a second round. 2. Blending lipo around the line can be added in select cases, but over-lipoing the crease itself can worsen it—so this part is surgeon-dependent. 3. Skin-excision (mini tummy tuck) is an alternative if the crease sits low and there’s extra skin—but it trades the crease for a surgical scar, so it’s a preference discussion. 4. Injectables (e.g., Sculptra/HA) can be considered when fat graft isn’t an option, but results are subtler and temporary.
Expectation: Most patients see a marked improvement; perfection can’t be promised, but the line is usually softened enough that bikinis feel comfortable again.
Seek an in-person consult with a plastic surgeon who frequently does revision lipo, subcision, and fat grafting—bring your current faja to size/fit correctly for aftercare.
—Dr. M. Mustafa Aydınol, Plastic Surgeon (Istanbul)