13 weeks after liposuction and my lower abdomen is not flat, I have like a pregnant belly, what should I do? (photos)

Great question!  The lower abdominal pooch could be due to several reasons.  First, although its been 13 weeks, there is still post-operative swelling that is presents.  It often times takes 6 months before the swelling goes down.  During this time I often have my patients wear compression garments to decrease the amount of swelling as well as help contour the abdomen - please speak with your surgeon about this.  Also, if you had some abdominal weakness in this area, from pregnancy for instance, the bulge will not be fixed with liposuction as liposuction is only a volume procedure and does not tighten the muscle.  Continue your followups with your surgeon and follow his/her protocols and make sure you have your concerns addressed.Best of luck and hope this information helps!- Dr. Roger Tsai   @DrRogerTsaiBoard Certified Plastic Surgeon

Hello. Great question. Based on your images, you may need a liposuction revision. However, a personal examination is needed to determine it. Please schedule a consultation with a board certified plastic surgeon for a detailed surgical plan to achieve your desired results. 

Lower abdominal fullness such as the images depict, can be a result of either post surgical changes or contour irregularities that existed prior to surgery. After surgery, it can be a result of usual swelling or of persistent fluid collections. However, if the problem is intraabdominal fullness or postpartum muscle laxity, fat removal will not correct the protuberance because the protuberance is deep to the fat layers of the skin flap.