Why Do I Still Have a Big Belly Bulge After Stomach Liposuction?

It is difficult to say without before and after pictures.  It could represent remaining fat or weakened stomach muscles from weight gain and/or pregnancy, residual swelling or seroma just to list a few. 

Dr. ES

Yes, it could be the way your body is shaped or more likely it is reflective of your intra-abdomhinal or organ fat which is not treated by liposuction.

Bulging can be related to swelling or even scar tissue from the procedure. I would wait at least 6 months or longer after the procedure date to see if it improves. Also, make sure your weight is the same as it was preoperatively, as weight gain negatively influences results. The other reasons you could see bulging would be preexisting muscle bulging or skin excess.

If your surgery was just a couple of months ago you may see significant improvement in the months-to-come. If your liposuction was a while ago and you did see much fat removed, there is a possiblity that you may benefit by an abdominoplasty (tummy tuck). See a board-certified plastic surgeon for an evaluation.

Is the bulge caused by saggy skin or is it something that is internal? Here are some causes of bulges:abdominal muscle separationloose skin seroma or hematomaYou should see your surgeon for an assessment to find out what the bulge is caused by. Muscle separation and loose skin can't be corrected by liposuction (a tummy tuck is more suitable) while a seroma/hematoma is a complication of surgery that requires medical attention.