Is this pouch from swelling or is there a chance this might be permanent? (photo)

Thanks for your question. Healing after liposuction is usually pretty straight forward.  There is a process of swelling and bruising that peaks at 3 days after surgery and then undergoes the first stage of major resolution in the first 2 weeks after surgery.  The lateer phase of healing takes place over the 2-3 months after surgery where everything really settles and softens.  It is after this time that we are getting close to the final result, though this varies patient to patient. It's best to follow your surgeons specific advice post-operatively. We typically have our patients wear compression garments on the areas we did liposuction to help the skin and underlying tissues re-adhere as well as reduce swelling. 

Hello dear!!
Thanks for the question and provided information as well.
You are still early on the healing process, it can take up to six months to see your final results, so please be patient. At the stage you are in, inflammation is normal.
If you have any concerns, please follow up close with your plastic surgeon.
Good luck :)