6 Months After Abdominoplasty NO Lipo Should I Look Like This? (photo)

Part of you problem is your lack of skin elasticity as evidenced by your multiple stretch marks.  You certainly could be improved with skin revision and possibly liposuction of the lateral hips.  

It really does take a full year to finally see your final result due to all the different parts of healing and their timing.  Swelling is often the most difficult to deal with emotionally.  You tend to get some bulging just above the scar because the scar restricts the resolution of swelling as a lymphatic barrier while gravity is actually pushing some of that swelling downward into this area.  If it feels firm and thicker than above, try deep massage, working laterally towards your hips instead of downward.  A vibrator can help soften those tissues with the secondary benefit of faster swelling uptake and resolution.  It can also help soften the scars and help localized nerve pains.  I have also seen posture contribute to the way you look.  Most that need their muscles tightened have a chronic forward pelvic tilt, which makes that lower fullness look worse.  There is an exercise that may help this.  Stand with your back to the wall with your hands behind you over your sacrum (middle back of the pelvic area).  Try to push against your hands into the wall.  You may need to do this by rolling your hips.