What corrective surgery should I get after dimples and ridges are left one year after my second lipo? (Photo)

this will need revision lipo with at revunvion and fat grafting, you MAY need tummy tuck to fix.  the thighs will need revision microlipo with internal heating, fat grafitng and then long term RF treatments  and sculptra.  you will never get a full improvement but this can be significantly Improved. it likely will be way more challenging now that this is a third procedure.
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Dear ANNA LOTTIER,
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. The revision can often be done under local as well.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

You should consult a board certified plastic surgeon. This may be corrected using high defintion VASER liposuction. The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee
. 

Poor outcomes after improperly done Liposuction are difficult to correct and sometimes only partial improvements can be had.
These cases and many times  more difficult than Primary Liposuction.
Generally treatment options include revision Liposuction, fat transfer in certain cases converting the procedure to skin tightening surgery such as a full tummy tuck.
Both VASER and bodytite  are energy devices that require great experience because the surgeon has to anticipate the effect of the device. While using the devices there is no change in contour at all. If the device or the treatment at this time is being done in an uneven fashion the surgeon will not know until later. With bodytite the results takes weeks to months.
With VASER the fat is pre-treated with the ultrasound device which does not remove that but simply pulverizes or breaks up to fat.   If this step is done in an uneven fashion later when the Liposuction is done the fat may come out in an uneven fashion such as what happened to you.
It could also have been the Liposuction itself which was done in an uneven fashion.
There are numerous variables and we don’t have pictures depicting the exact change that came from each of the procedures in regards to photographic results, amount of fat removed, power setting on devices and how long the energy devices were used for etc. etc.
I often speak out about energy devices because they cause more disfigurement than traditional Liposuction.
In the end it’s not the device that cause the disfigurement but it is the provider and how the procedure was done. 
I simply see this more frequently with  VASER.
When this device is used by an experienced skilled plastic surgeon their results can be  be striking but when used inappropriately by a provider lacking skill, training or experience the results can be equally devastating  and far worse than other forms of liposuction. 
Typically during an assessment, which needs to be in person, each area of disfigurement is assessed individually and the decision is made what can be done to improve the outcome of that individual area. 
Unfortunately none of the above stated treatment options are ideal and they lack the ability to restore someone to pre-procedure but some improvements can usually be made.
The more someone has been over treated or had multiple procedures the more difficult it becomes to correct the outcome.
These are very challenging cases.
Patients often lack faith in the plastic surgery community or in anyone’s ability to make things better(for a good reason).  They’ve often spent thousands of dollars and in your case been disappointed more than once.
Sometimes simply getting a patient to have faith to have another procedure is more than what can be accomplished.
You should be very careful of any provider who says this can easily fixed.
I also generally warn people to be very careful of providers who claim that the use of VASER can be used to “break up scar tissue“. This seems to always equate to our worsened outcome.
Further surgery will always create more scar tissue. If the primary problem was that too much fat was removed then revision Liposuction is in many ways simply an insult to injury.
Fat transfer works poorly because the devoid area now has no or insufficient host  tissue to support the graft and fat leading to fat graft failure. On top of it scar tissue lacking elasticity locks the deformity into place. When fat grafting is used patients should be prepared to have multiple rounds of fat transfer in order to see significant improvement. 3 to 4 fat grafting sessions are often required.
In order to not make things even worse this must be done by a provider who is truly skilled and experienced.
It requires time and patience and can be frustrating to say the least for the patient.
It’s also not an easy situation for a new surgeon to take over.
Each plastic surgeon is ultimately responsible for the outcomes of their own procedures.
Each and everyone of us as plastic surgeons have had patients unhappy with some outcomes and sought help from other providers through second opinions  and revision work. 
I suggest having multiple in person consultations with experienced what certified plastic surgeons in your area. Look for providers who have extensive experience with liposuction and fat transfer. Also consider looking for providers who do a significant amount of reconstructive work in their practice.
We’re having consultations you should be well prepared with proper before and after pictures taken by the surgeon of each procedure and a copy of the operative reports. you can request these from the providers by contacting their office. You have a right to your medical records including before and after two pictures taken by the provider.
I wish I could be more up beat or offer more reassuring advice.
Best,

Mats Hagstrom MD