What can be done about this? One year post- aggressive lipo of stomach (Photo)

Thanks for the question, we see this a lot, in north america most patients want results for in and out of clothing, in south america many times they seem to be as aggressive as possible to get the results in clothing. I have found that using plasma technology can help tighten and smooth from the inside out with minimal downtime. I like to follow it up with venus legacy radio frequency treatment for tightening and smoothing

I would consider doing a full tummy tuck to achieve the flattest tightest tummy.  It is likely that this is what you needed at the beginning.  Dr. Greenwald

One of the reason why we -  Board certified Plastic Surgeons here in the US- keep stressing the importance of doing surgery here in the US - is to avoid these situations. Based o your photos- in my opinion- Abdominoplasty is indicated. I suggest that you seek an experienced Board Certified PS for in person evaluation