Had lipo about 8 years ago, left looking distorted. What would help with this uneven lipo? (photo)

An exam or full photo of your abdomen would be helpful in the best recommendation. For the contour irregularity from your photo you can consider fat grafting to help even it out. However if you have skin laxity and aren't opposed to a tummy tuck that would likely give you the most complete result. It would remove excess fat and skin, address abdominal wall laxity, and improve the overall contour. The result would be a flatter, tighter tummy. See a board certified plastic surgeon near you to learn more.

These are contour irregularities after the liposuction. I would recommend more liposuction with heavy focus on equalizing the residual fat. This can be done with the S.A.F.E liposuction technique. I would recommend seeing an American Board of Plastic Surgery certified plastic surgeon with experience in body contouring.

If you are a candidate, then revision liposuction combined with a full tummy tuck may be your best option. An virtual or in person examination would determine if just liposuction alone would be effective as well.

Hi there,
Revision liposuction would be your best option. This allows us to even out the thickness of the skin in all areas, making if more uniform, and resulting in a smoother appearance. I do not think a full tummy tuck would be of any benefit as you don't appear to have enough loose skin to warrant it.
all the best

You would do very well to get lipo for the whole tummy again but do it under local so the doc can stand you up to fine tune it and make sure he/she are using the micro canulas. Morpheus and bodytite are great to do at the sametime as well.