Can the doctor see a pseudobursa during scar revision?

Thank you for your questions. If you are planning on having a revision surgery, then your surgeon should be able to tell if there has been an area of chronic seroma but this will likely make no difference in moving forward.Hope this helps!

A pseudobursa is usually found just above the fascial layer and below the fat.  When a scar is revised sometimes the incision will go as deep as the fascia, but in most cases it is usually just below the skin.  So unless the surgeon suspects a pseudobursa and is planning to look for one, it is probable that he would not be that deep.

A long standing seroma will form a pseudobursa.  These are firm thick capsules around an old hematoma or seroma.   This is usually related to patients overdoing early on or drains falling out early.   Removing it fixes the problem but it would need to be done properly, in an operating room, with anesthesia.  If that is your issue you will be very pleased with the revision.  Good luck!