I've always had this type of 'love handles' - what are they & how do I fix it? (Photos)

The "love handles" are the areas of excess fat that typically form on the sides of your lower waist and hips. They are often a result of genetics, weight fluctuations, or hormonal changes. In some cases, these areas can be more prominent and challenging to address through diet and exercise alone, especially if you’ve always had this body shape. Fortunately, there are several options to target love handles, including liposuction.
If skin laxity accompanies the fat accumulation, procedures like a tummy tuck combined with liposuction can provide both skin tightening and fat removal for more dramatic results. In some cases, a flank excision may be necessary to surgically remove excess fat and skin. Consulting with an experienced plastic surgeon is key to understanding which procedure is best suited for your body and specific goals.
Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York

Since you have had an inverted T abdominoplasty, it appears that you have had significant weight changes in your life. The positioning of the "lumps" is due to the anatomic changes caused by the abdominoplasty and the scar placement.
Fortunately, liposuction should take care of the issue fairly well. At the very worst case, a small skin excision may be needed along the same scar.

Thank you for your question. Looking at the photos you have provided I would suggest having a Flank excision along with some liposuction. That will allow your Surgeon to reduce down the love handle area and remove the extra skin as well. I would suggest speaking with a Board Certified Plastic Surgeon in person to evaluate and discuss your options. Best of luck to you.