Why Do I Still Have a Big Belly Bulge After Stomach Liposuction?

Most of the fat was removed, and I do not feel bloated or distended. Could this just be how my body is shaped?

Doctor Answers 7

Liposuction techniques can reduce superficial fat

The deep (visceral) fat cells are not accessible. This would be what is deep to your muscles. Fortunately exercize and diet WILL benefit this area.

That is why a combined approach of working out, watching what you eat, along with liposuction can get both what is above and what is beneath the muscle.  

On the other hand, there may still be residual swelling from your procedure. Some liposuction methods still have swelling even 6 months later.

Hope this helps

Chris Peers MD


South Bend Facial Plastic Surgeon
4.6 out of 5 stars 5 reviews

Abdominal liposuction

If your surgery was just a couple of months ago you may see significant improvement in the months-to-come. If your liposuction was a while ago and you did see much fat removed, there is a possiblity that you may benefit by an abdominoplasty (tummy tuck). See a board-certified plastic surgeon for an evaluation.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Bulge after liposuction

Is the bulge caused by saggy skin or is it something that is internal? Here are some causes of bulges:

abdominal muscle separation
loose skinĀ 
seroma or hematoma

You should see your surgeon for an assessment to find out what the bulge is caused by. Muscle separation and loose skin can't be corrected by liposuction (a tummy tuck is more suitable) while a seroma/hematoma is a complication of surgery that requires medical attention.

Ronald Levine, MD
Toronto Plastic Surgeon
4.8 out of 5 stars 23 reviews

Stomach is still big after liposuction

Yes, it could be the way your body is shaped or more likely it is reflective of your intra-abdomhinal or organ fat which is not treated by liposuction.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 72 reviews

Tummy Bulge After Liposuction

It is difficult to say without before and after pictures.  It could represent remaining fat or weakened stomach muscles from weight gain and/or pregnancy, residual swelling or seroma just to list a few. 

Dr. ES

Abdominal bulge after liposuction

Some swelling is normal after abdominal liposuction, and may persist for several weeks after surgery. Liposuction only removes the fat above the muscle layer, and so the bulging you observe may be due to tissue laxity of the muscles themselves or else intra abdominal fat.

Olivia Hutchinson, MD
New York Plastic Surgeon
5.0 out of 5 stars 8 reviews

Bulging after Abdominal Liposuction

Bulging can be related to swelling or even scar tissue from the procedure. I would wait at least 6 months or longer after the procedure date to see if it improves. Also, make sure your weight is the same as it was preoperatively, as weight gain negatively influences results. The other reasons you could see bulging would be preexisting muscle bulging or skin excess.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.