Is it possible I messed up future results by not sleeping as directed after lipo?

It is highly doubtful that your sleeping pattern will have any negative effect on the results of your liposuction.  Post-op recommendations for how to position your body after surgery is to minimize the amount of swelling you develop in the treated area and to help the healing process to proceed more smoothly.In your case, you may have a bit more swelling but your final result should be unchanged

I would very much doubt that you have "damaged" the results.  Failing to keep your legs elevated could result in a bit more swelling but nothing permanent.  Given the extent of your surgery and your concerns, you should reach out to your plastic surgeon for support.  Best wishes.

Hi Chelseav,While it is unlikely that you caused any permanent damage to your abdomen by sleeping on your side following liposuction, it is always advisable to speak to your surgeon if you have any concerns after undergoing surgery.  Your pain, specifically, is what needs to be addressed.  Good luck!