Is this a seroma? Psudobursa? Help (Photo)

It is hard to give your an answer without physical exam. This far from surgery, it is unlikely that it is a seroma. It could be old hematoma creating lumpy scar. If you find a plastic surgeon who is willing to do the after care, then by putting a large needle and aspirating, if there is any fluid, it will come out but if it is a scar formation, it has to be revised in the OR.

From the photographs, it seems as if you have a seroma. These are treated in many different ways. When it is long-standing, as yours, it may need to be excised and removed through the old incision. This sometimes leaves a contour problem. Another drain will probably be needed. This may sometimes be improved with liposuction.

Thanks for your inquiry and excellent pictures. At nine months post-op this probably no longer just represents swelling, but without an exam it is hard to advise. I suggest you reach back out to your surgeon to be examined. This could be a pseudo-bursa, chronic seroma, thick flap, etc. Imaging like an ultrasound may be required to get answers. Good luck