Are hard and uneven lumps after Smart lipo triplex normal? (Photos)

Hi there,From your pre and post op pics there appears to be a difference and you have better contours. Having said that it does appear there is a small degree of fat below the belly button.  It also appears you have stretch marks, and the discussion prior to the procedure should have included how the skin would contract when stretch marks are present.  When you have stretch marks the skin will not contract as well as skin that never had stretch marks.  I would wait a period of 6-8 months post procedure prior to doing any touch up but would also add skin tightening device such as J plasma or InmodeBody Tite.See a revision specialist for best results

You do appear to have some fullness below your umbilicus. At 5 months , most of the swelling should be resolved. I would return to your surgeon to discuss your concerns. You may need a small revision. Dr Crabtree