One year post op - Is this much lumpiness normal for liposuction? Can it be fixed? (Photos)

Thank you for your question and photos. The legs, calves and ankles are not a good source for fat harvesting unless you had very thick calves/ankles. Even then, this is an unforgiving area if your surgeon is not an expert in this area. It is very easy to create unevenness and very difficult to correct it. I believe it was the lack of skill of your surgeon in this area and your expectation was not unrealistic. The fact that your surgeon considers this a "successful" outcome, shows his/her poor understanding or skill to create good results. Word of caution, I would seek another opinion and would not allow this surgeon to do corrective surgery even if it is offered free, since he/she thinks that this is normal. Good luck.

Ideally, Liposuction outcomes should not have any contour irregularities whatsoever.
Your outcome is a direct reflection of the skill or rather lack of skill by your provider.
Lower extremity Liposuction is more challenging and technically difficult than other areas. This is especially true of liposuction of the leg.
Many plastic surgeons don’t do liposuction below the knees.
Improving your outcome is going to be difficult and any attempt at a secondary procedure or revision surgery can easily make things worse unless you’re working with the right provider.
The most difficult outcomes to correct are those were too much fat was removed.
Improving the outcome is either done with grafting or further liposuction.
The most difficult outcomes to improve are those where too much fat was removed and the fat distribution was left uneven.
How many before and after pictures did your provider show you of similar areas of previous patients before you scheduled surgery?
Delivering consistent quality Liposuction results is more difficult than most people realize.
The number of plastic surgeons who approach mastery in this kind of work is in reality quite small.
Maybe these results are acceptable to your provider, which tells us that your providers results are typically not very good.
Be very careful with providers. I think it’s easy to improve your outcome.
It may be possible to create some improvement but doing so is not easy or straightforward.
Any attempts at revision surgery can make this situation worse.
Finding the right provider to be working with is the most important variable in this too, can be more difficult than most people realize.
Best,
Mats Hagstrom MD