Is this fibrous adhesion and will it stay like this permanently? (photo)

abovay I completely understand your concern, but it really does take at least six months for full recovery after liposuction. It takes that long for swelling to resolve and subcutaneous scar tissue to settle down. Try to stay patient and positive and follow up with your plastic surgeon. Good luck.

Hello
and thank you for the question. I would suggest you wait another couple of
months  to see if there is going to be any improvement. In general,
surface irregularities result from aggressive liposuction too close to skin
surface. You should stay in touch with your surgeon. If these persist despite
lymphatic massages and steroid injections, sometimes they can be improved by
revision liposuction (more like using the liposuction cannula to break down the
scar tissue) or at times fat grafting to depressed areas. You should speak
with your surgeon. Best,
Pejman
Aflaki, M.D.
Johns
Hopkins-trained plastic surgeon

Hello dear!!
Thanks for the question and provided information as well.
You are still early on the healing process, it can take up to six months to see your final results, so please be patient. At the stage you are in, inflammation is normal.
If you have any concerns, please follow up close with your plastic surgeon.
Good luck :)

Skin irregularities are common after liposuction, especially when aggressive liposuction is performed on thin patients. A certain amount of fat should be left in the superficial layer to prevent indentations or grooves. Some plastic surgeons will intentionally "sculpt" or "etch" the superficial layer of fat directly under the skin, in order to accentuate or exaggerate a muscular "cut" or defined appearance. If not performed meticulously, "etching" can look unnatural. I would give it some time but you may need corrective releases and fat injections to try to correct the deeper indentations that may not improve to your satisfaction. 

 I think you described your condition well when you called it fibrous adhesions after liposuction . It appears to me the provider was overzealous and you've been over treated on top of this the liposuction does not appear to of been done evenly.  It's relatively early in your recovery but appearances at six weeks or a fairly good indicator of what the long-term results will look like.  Unfortunately what you have will be very difficult to correct.  Over treatment with excessive removal of fat causing severe skin compromise can be irreversible.  Treatment options that that may be recommended could include fat grafting. My experience and I have quite a bit is that fat grafting works poorly to correct excess of liposuction because of the lack of host the tissue to graft the fat into. If you have skin scared down to muscle then there is no tissue to hold a fat graft.   Sometimes the skin can be improved by converting this to a full abdominoplasty. The scar tissue that forms can also make converting this to a full abdominoplasty challenging. Regardless I would recommend being patient and waiting at least six months before considering any secondary treatment options.  I do not believe any non-surgical interventions will be of any significant benefit in your case but others may recommend them.  Best, Mats Hagstrom M.D.