Options for Correcting Lumpy Liposuction Results?

I am very impressed with your understanding of the subject. You have a much better understanding of the risks than most. You are correct in being concerned. You are approximately 7 months out and it is possible you will see some improvements but not likely complete resolution.
It comes down to how much it really bothers you and if you can live with it. No one will be able to tell you for certain that it will get better or worse. It sounds as if your surgeon has been straightforward in discussing these options.
In my limited experience, I know one aesthetician who uses the Accent on patients and has been unable to achieve significant improvement in "mild" irregularities caused by abdominal liposuction by another physician.
On a few instances I have proceded with small cannula liposuction over previously treated liposuction areas with subtle improvements. I have ccasionally employed fat grafting in areas where the fat seems excessively thin or the skin is adherent to the underlying tissues. I have achieved modest improvements. It would be unrealistic to expect a completely smooth result and I advise patients that I realistically hope to achieve a 30% improvement. Anything more than that is a gift. Of course this comes with the risk of vascular compromise and that is possible but fortunately rare.
I hope this helps.

It sounds like you would benefit from a Hidef liposuction revision that includes laser skin tightening, Exilis multiplane tissue tightening, lipocavitation, lipo fibrous release, liposculpture, and fat grafting. Best, Dr. KaramanoukianLos Angeles

I understand your concerns regarding re do liposuction and the potential for contour deformities following liposuction close to the skin.
The technique your surgeon describes is an accepted technique which can give good results in experienced hands.
I have had good results using a new laser liposuction technique called SlimLipo to correct lumps and contour deformities after liposuction.
I have been very impressed with the results of laser liposuction to remove lumps and smooth and tighten the skin.
See before and after pictures of SlimLipo.