Plan of action for lower abdominal pouch caused my compression garment after liposuction?

You likely need weight loss and a tummy tuck with liposuction. based on your description and photos.  For best results, I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermiRF/J Plasma/Reuvion/IndMode BodyTite and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. A fat transfer/BBL could also be considered, I recommend getting a formal evaluation with a hi definition physique expert. IF you have loose skin you will need skin removal (abdominoplasty/tummy tuck, bracioplasty/arm lift, thigh lift, body lift etc).  Best, Dr. Emer

If your family is not yet complete, I recommend that you reach your desired weight and then discuss the benefits of BodyTite and lipo in lieu of a TT.  BodyTite does not remove any fat, but it is capable of producing a 45% contraction in tissues.  It can be combined with liposuction to improve contours dramatically.  Results can be seen immediately after one treatment and are more evident over three to six months post-treatment. Wait until six months to fully evaluate the aesthetic results.  Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Thanks for your question. Compression garments are used to help control swelling as the compression on your tissues helps your body to reabsorb the edema fluid that accumulates in the tissues after any procedure. This can take quite some time to happen without help from the compression garments.  It also helps improve  contour.  Compression helps to keep the tissues adherent to the underlying structures while healing, this can help prevent the wrinkled skin appearance that can happen when the tissues heal in ways we don't want them to.

It is difficult to say how things will shape up when you do lose the weight.  You may be fine with revision liposuction or you might need the excess skin in the lower abdomen removed, hence a tummy tuck.Once you have reached your goal I would recommend you see a board certified plastic surgeon to discuss your options.Hope that helps.

Thank you so much for submitting your question. 
Contour irregularities after liposuction can be a difficult thing to treat. It is why modern techniques like SAFE liposuction have become so popular which decrease the risk of contour irregularities. That being said, even the best techniques can be ruined by poorly fitting compression garments. 
For you I would get to your desired weight and reach a point of stability for 3-6 months before moving forward with any treatment. 
Then the question of what to do will be more evident. One additional question would be if you are planning on having more children, this may guide which step to take. If you are planning on having more children I would hold off on a tummy tuck or even a mini tummy tuck as you would likely have additional skin and muscle laxity after your next child. If you are planning on having further children like your best option would be repeat liposuction potentially with fat grafting/transfer to smooth our the irregularities. This could also be combined with Bodytite which is a minimally invasive skin tightening device. 
If you are not having further children then likely moving forward with an excisions procedure like a tummy tuck would probably be your best option. 
Thank you again and best of luck.

Dear  baslan818.
it is hard to tell for sure, will your pouch disappear once you lose weight. If it doesn't, you might need a surgery (liposuction or tummy tuck) in order to achieve flat abdomen. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

baslan818I appreciate your concern, however it would be best to first reach your desired goal weight and then be evaluated by a board-certified plastic surgeon. It appears from your photographs that your options include repeat liposuction of the lower abdomen versus Tummytuck surgery, mini or full. Pregnancy can affect both the skin and the underlying muscles of the abdomen, and for this reason, Tummytuck may provide a more dramatic result. Try to stay patient and positive and check in with a plastic surgeon after your weight loss. Good luck.

Hello dear!
Thanks for the question and provided information as well.
It is very difficult to determine how you will look if you lose weight. Please reach your weight goal first, and then, l recommend you to make an appointment with a board certified plastic surgeon to talk about your goals and anything you need to know.
In general, you need to be physically healthy and at a stable weight, have realistic expectations, be a non-smoker and your BMI needs to be 30 or less.Good luck :)

first of all I seriously doubt your compression garment changed your outcome. Compression garments simply can't move where your fat cells are located.  Your results are direct reflection of how the procedure it was performed.  Leaving untreated fat around the belly button is a very common occurrence in abdominal liposuction. It is unlikely weight loss will change this because weight loss will not change your fat distribution.  Will you need another procedure? That depends on how much this bothers you and what you're willing to go through it to have it corrected.  Why not talk to the surgeon who did the work and ask if you were she will do a revision for you.  That would be the appropriate way of handling this. All of us do revisions from time to time.  Best, Mats Hagstrom MD