Not Enough Fat Removed After Liposuction?

Dear Morena
You have waited a full year since your liposuction. This is plenty of time to allow this area to heal. Clearly you have an issue. Without a personal examination, it is difficult to know precisely what the issue is.
Gynecologic surgeons (not all fortunately) are apparently trained to lift and sweep up the abdominal fat prior to making the low transverse abdominal incision. This effectively traps a wad of fat above the incision once it has been sutured back together. This seems to be an appalling and all too common technique.
Liposuction can be very effective in flattening these undesriable collections of fat. This is completely analgous to the so-call "mommy pooch" after a c-section. Many of these respond great to liposuction. However, remember that liposuction is an art form and some surgeons loose interest with liposuction because it does not fit their big cutter model of the world.
Normally one would expect that an area undergoing liposuction would become very firm after surgery, but this area would soften and return to its normal pre-surgical texture several months after surgery. That yours did not suggests that something else is going on. It may be related to how your abdominal wall was repaired following the myomectomy.
I would strongly recommend that you find a board certified plastic surgeon with a strong in body work.
Dr. Steinsapir

I agree entirely with Dr. Shaefer.
You most likely would benefit from a scar revision.
Sometimes the problem is not the fat but a tight adherent scar similar to a tight belt that causes bulges.
The scar has an absence of fat making the area immediately above it seem more prominent. By undergoing scar revision, a layered repair of the fat, SFS, and skin will likely yield a superior result.
Of course there are other potential reasons that could explain your findings but given the limited information above, this is my educated guess.

You have two issues. The first is that you just had liposuction. It can take several weeks to months for the swelling to resolve. Second, if you have c-section scar, the tissues may be contracted in that area which causes the tissues above the incision to balloon over the scar. This can only be helped by revision the scar or, possibly a miniabdominoplasty. If you post pictures, we may be able to give you more specific advice.