Will the creasing in my post Lipo garment cause permanent damage? (Photo)

Every PS prefers a certain type of compression garment, and I always support following your PS's post-operative guidelines as he/she knows the extent of your surgery and how well you are recovering.The garment should not be causing indentations.  Wearing the garment less tightly or changing garments may be reasonable.  I would try to email or phone your PS.  PSs want to know about potential problems.
Kenneth Hughes, MD, Board Certified Plastic Surgeon
Los Angeles, CA

Thank you for your question.  It's best to follow your surgeons specific advice post-operatively. We typically have our patients wear compression garments on the areas we did liposuction to help the skin and underlying tissues re-adhere as well as reduce swelling. However, if you garments are too tight they can restrict lymphatic drainage and blood flow leading to more swelling and complications. I'd highly suggest you contact your surgeon's office regarding your plan. Best of luck!

Thanks for the question.  Compression garments typically do not cause permanent damage unless they are so tight that they compromise blood flow to the underlying tissue.  This does not appear to be an issue in your case.  As for the difference in the waist position on the photos, that is often an anatomical issue not related to the  garment.  The waist is defined by the space between the upper aspect of the pelvis and the lower aspect of the ribs.  This space between these two anatomical structures is defined as the waist.  This is often obscured by fat deposition.  The position of the waist is often different in patients from side to side.  This can be the result of uneven leg length, pelvic tilt, hip issues, curvature of the spine (scoliosis) and a number of other anatomical issues.  If this difference is present before liposuction, it will not change after liposuction.