Thank you for your post. I'm wondering if you've had any prior surgery on your abdomen? That area looks to me more like what is called "diastasis" where the abdominal wall muscle layer is stretched (usually w/ pregnancy). Tummy tuck surgery is usually required to fix that. I'd probably want to get an ultrasound test to make sure it truly is an area of fatty tissue that liposuction could actually get to and help. Best wishes to you.
Lipo is an easier procedure and leaves minimal scars.
Surgical excision is a big procedure with a big recovery.
you may need the muscle tightened there. I suggest a formal consultation to determine if lipo alone would help. Best, Dr. Emer.
from your photo, to me, it looks like you had a tummy tuck and still have a muscle bulge in the upper abdomen. But, hard to tell from a photo. If it is fat, smartlipo can help. If it is muscle bulge or an old seroma, smartlipo won't do it.