2 years after Vaser & still have uncomfortable tightness in midsection - advice?

I'm sorry to hear about your ongoing discomfort following Vaser liposuction. It's understandable that experiencing persistent tightness and anxiety can have a significant impact on your daily life.

Here are some steps you can take to address your concerns:

Consult with Your Surgeon: Schedule a follow-up appointment with your Vaser liposuction surgeon to discuss your symptoms and concerns. They can assess your condition, perform a physical examination, and provide personalized recommendations for managing your discomfort.
Explore Treatment Options: Your surgeon may recommend various treatment options to alleviate tightness and discomfort, such as massage therapy, physical therapy, or specific exercises to improve flexibility and muscle function.
Consider Psychological Support: Persistent discomfort and anxiety can take a toll on your mental well-being. Consider seeking support from a mental health professional who can help you develop coping strategies and address any underlying anxiety or stress related to your symptoms.
Explore Alternative Therapies: Some individuals find relief from chronic tightness and discomfort through complementary and alternative therapies such as acupuncture, chiropractic care, or mindfulness practices. Discuss these options with your healthcare provider to determine if they may be suitable for you.
Manage Expectations: It's essential to manage your expectations and recognize that recovery from liposuction can vary from person to person. While some individuals may experience resolution of symptoms within a few months, others may require more time and additional interventions to achieve relief.
Seek Second Opinions: If you're not satisfied with the response or treatment recommendations from your current surgeon, consider seeking a second opinion from another qualified healthcare provider who specializes in liposuction and body contouring procedures.
Remember that you're not alone in experiencing post-operative discomfort, and there are resources and support available to help you address your symptoms and improve your quality of life. Don't hesitate to advocate for yourself and seek the care and support you need to address your concerns effectively.

You didn’t include before and after pictures so we can’t make an assessment. If your procedure was aggressive, using an aggressive device. If as you say all the fat was removed and I’m not surprised your body feels awkward and different. You’re supposed to have a fat layer between your skin and the muscle layers.
The importance of choosing the right provider cannot be overstated.Liposuction is a permanent and irreversible operation. The time to be critical of providers is before you choose your surgeon.
Unfortunately, at this point, there’s probably very little you can do other than perhaps ask for a referral to a physical therapist or consider therapy.
Best,
Mats Hagstrom, MD