Seroma or swelling? I am 3 weeks post abdominal lipo. My lower abs have always been the most bruised, tender and swollen (photo)

Hello dear!!
Thanks for the question and provided information as well.
You are still early on the healing process, it can take up to six months to see your final results, so please be patient. At the stage you are in, inflammation and irregularities are normal.
If you have any concerns, please follow up close with your plastic surgeon.
Good luck :)

Many thanks for the question and pictures.
As you state, it is very difficult to comment on just the photos and advise accurately without an in-person examination.
It is fair to say that your swelling appears minimal from the pictures and that it can take months for the swelling to settle post-lipo. I would therefore advise that you follow your Board Certified Surgeon's post-op protocols.
Should you have a seroma, then it is usual for small serums to resolve by reabsorption. Larger ones I recommend to get drained, often more than once should they recur - they quite often do.
Ultimately, I appreciate that you said your Doctor isn't local, but for the sake of your sanity and ultimately the final result of your procedure, I would advise that you make a trip to see them. Failing that you have lots of good board certified Plastic Surgeons in and around the New London area and elsewhere in Connecticut that you can go and see for advice/help.
I wish you well.
Marcus