Could a small seroma turn into a pseudo bursa at 6 months post-op? (Photos)

Hello,Although possible, it is unlikely a chronic seroma encased in a pseudo bursa. Most small seromas do resolve on their own (I stop trying to aspirate them once they are less than 2 to 3 cc), but like large seromas tend to cause persistent long term swelling (due to inflammation) that can cause permanent thickening of tissues. If there is no fluid collection, you may need liposuction to re-contour that area. Best of luck!

Thank you for sharing your question and photographs and I see your areas of concern.  I would recommend first obtaining the US to diagnose the seroma before considering a pseudobursa.  Though possible to form at 6 months there may be more common reasons for current asymmetry including tissue swelling, muscle/adipose differences, etc.  Once an appropriate diagnosis can be made then the best treatment option can be rendered.  Hope this helps.