Hello, and thank you for your question regarding whether this is a seroma or a pseudo-bursa. Thank you for your history and your pictures. Congratulations on your mommy makeover. From your pictures, it appears that you have a seroma. It is probably not a pseudo-bursa, but rather an organized seroma. This is not uncommon and can be one of the potential complications for surgery done in the US and abroad. Unfortunately, surgery done outside the country, as you have discovered, may not allow for significant aftercare, follow-up, and treatment. Regarding the current treatment of your seroma, this should include needle aspiration. Needle aspiration for a seroma should be done every 48 to 72 hours. If needle aspiration is not effective after two months, you may consider inserting a drain. If drain insertion does not resolve the seroma, you may require injection of a sclerosant to help scar down the walls of the seroma. Alternatively, suppose you are considering other surgeries and are in the operating room. In that case, a small incision can be placed over the area, and the area can be surgically removed, including the walls of the seroma. A drain would be placed, and the seroma would be corrected. All these, of course, are added expenses. For the most definitive care and quickest treatment, I would suggest surgery with resection of the seroma and its walls and inserting of a drain. Since you had a prior seroma, it increases your chances of future seromas, though not by much. I would still embark upon a seroma cavity removal, even with a prior history. Good luck. I hope this helps answer your question regarding whether you have a seroma or a pseudo-bursa three months after a tummy tuck performed abroad. If you have any more questions regarding tummy tucks, abdominoplasties, or abdominal liposuction, contact an experienced plastic surgeon. Since the tummy tuck surgery is a big procedure, please seek an experienced, board-certified plastic surgeon with significant experience in performing tummy tucks. Do your research. If you cannot find an experienced tummy tuck plastic surgeon in your neighborhood, consider traveling out of state. Sincerely, Dr. Katzen, MD, MBA, FACS, FICS. ( Plastic Surgeon, President of the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)