Is it possible to have a seroma on the pubic mons area, below where my abdominoplasty is, 4 years after surgery?

Hello ttfail,4 years after a TT with no additional surgery or trauma a new seroma is unlikely.  However if your mons areas was not treated at the time of your surgery with fat loss or gain you may notice changes in that area that are not proportional to the rest of your abdomen.  However, as this has been concerning you for over a year I would suggest returning to your plastic surgeon for an in person exam to determine if any intervention is indicated.Best of Luck!Dr. Rednam

Thanks for your inquiry, and yes it is possible though uncommon, an ultrasound would confirm it, good luck. 

It seems very unlikely that a seroma has developed 4 years after your abdominoplasty procedure. The mons area sometimes has to be specifically addressed in abdominoplasty and perhaps this area has been under treatment.  An office evaluation should be able to work out a satisfactory solution.