Thank you for your question. The best way to avoid dents is to not get them in the first place, but it happens occasionally, even in the best of hands. A big part of the problem is that liposuction is typically done in a supine position, and what appeared to be smooth with the patient lying down can occasionally not be so smooth when standing. Using smaller cannulas, and repositioning the patient is helpful in avoiding this. That is why I sometimes prefer doing liposuction under sedation, so that the patient can help the surgeon visualize the treatment area from different positions. Experience of the surgeon also helps, I believe, as an experienced surgeon knows to randomize his or her liposuction strokes so as to not remain in the same area too long and reinforce a contour irregularity. That being said, your dents can be improved through a combination of liposuctioning the areas around the defects and fat grafting the dents themselves. Alternatively, an abdominoplasty can even out the irregularities (and in fact, remove these areas) as most of them are below the belly button. This is, of course, a much bigger procedure.
