Do I need some sort of compression for blood collection in the pubic area after abdominal/chest smart lipo? (Photo)

Bruising usually travels downward due to gravity. Blood in the fluids that are released by your body as it heals can make it's way to areas beneath the treated sites. Swelling will improve by laying down with a pillow under your buttocks frequently. Bruising will resolve spontaneously in a few weeks. Arnica cream helps.

Some people bruise and swell more than others and it is expected for the gravity to pull the blood/fluid to the pubic area and genitals.  I suggest continuing your compression, taking arnika forte, and giving it time.  IPL or pulsed dye laser can help resolve this more quickly, but it sometimes takes 2-3 weeks to fully go away.   As long as there is no pain or large fluid collection this should be a normal finding. Best, Dr. Emer.

Your mons (pubic area) sits below the level of your compression garment, and it's also the most dependent area when you're sitting.  I often have patients add a one-piece garment that compresses the pubic area, then apply their binder over that garment.  You might try SPANX with your binder over the SPANX.  Check with your surgeon to see what she suggests.  This looks normal, by the way.