I had liposuction almost 10 years ago and I have a “donut” around my stomach. what can be done to fix the unevenness? (photo)

Skin tightening (dermo-lipectomy, tummy tuck) is the best method for significantly smoothing abdominal skin surface irregularities after liposuction, after pregnancy, or after both liposuction and pregnancy.  Abdominal skin is naturally soft and flexible.  Removal of fat beneath skin by liposuction further loosens abdominal skin causing it to sag and creating uneven surface contour.  Tummy tuck mobilizes skin attachments contributing to irregularity, repositions skin for a smoother, tighter surface, and removes excess loose skin.  Several examples of liposuction irregularity (much worse than yours) improved by tummy tuck in our online gallery.

Dear CaliLove00,
I would have to examine you but it appears that this is a contour irregularity after liposuction.  This happens often when areas the undergo liposuction are not feathered appropriately. The good news is that it can be fixed and I have done so with good results before. 
While there is always a chance for contour irregularities with liposuction, someone who takes their time and uses the appropriate sized cannulas should give you a superb result.I have all my patients wear compression garments and I use multiple sized cannulas to feather out the result.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery