Can a compression garment worn after lipo cause permanent indents?

It's highly doubtful that a compressive garment has any long-term effect on the outcome after liposuction. If an ill fitting garment creates a crease this will correct itself in the garment should be adjusted so as not to re-create the problem.

Yes compression is extremely important including massage and radiofrequency treatments post liposuciton.  Garments not worn properly or with a foam pad have the ability to cause permanent irregularities.  Please speak to your physician if you are concerned.  Best, Dr. Emer.

Hi! At three weeks post liposuction any indentations or irregularities are pretty much permanent without further intervention. Following liposuction the remaining fat is very malleable during the early recovery period and any sustained, irregular compression can cause surface deficits. That being said, the appearance can be improved with breaking up the fat, liposuctioning of the high points, redistribution and/or fat grafting. Consult with your board certified plastic surgeon for a focused exam and treatment. You should be able to get some degree of improvement. Best wishes!