Could this bulging above my scar by pseudobursa? (Photos)

It is unlikely this is a pseudobursa based on your pictures. It appears you have a slight mismatch in the skin thickness above and below the scar, which is resulting in a bulging appearance. It also possible your scar is slightly tethered down, and could make this shelf look more noticeable. Your scar also appears to be rather high in terms of location. If you were my patient, I would likely recommend doing more liposuction of the area above the scar, as well as a scar revision to free up any tethering, lower the scar in the midline, and hopefully get rid of the shelf-like appearance. Best of luck.Emile Brown, MD
Board Certified Plastic Surgeon, Johns Hopkins & Harvard Trained

Unfortunately an accurate diagnosis requires more than photographs in this case. A visit to your surgeon could provide the answer after a thorough examination. In some cases an ultrasound may be necessary to complete the diagnosis. Another revision may be worth investigating and  this can be discussed with your surgeon.

Hello. Great question. Congratulations on your procedure. I am sorry for your post op difficulties. A personal examination is needed to properly address your bulge.

Thanks for your question and the photos. Even if there were a bursa ( space) i think it unlikely that it is contributing to your concern unless you feel a fluid filled cavity. From what I see you may benefit from adjusting the scar to help line up the layers of fat both above and below it. Best wishes.

Thank you for your question and photos. Based on these photos, you would benefit from a secondary tummy tuck to lower your very high scar and liposuction of your torso to give you an hourglass figure. If you have a pseudo bursa, the way to take care of it is through surgery. See a board certified plastic surgeon experienced in advanced body sculpting techniques for an in person consultation/evaluation. good luck.

Dear greyhoundrunner,
I understand your concern. Based on your photos, it looks like there is a bulge above your incision site and it in most cases it is caused by excess fat tissue. If your surgeon suspects on bursa, an ultrasound can help detecting it. However, without a proper assessment it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after thorough examination you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

are appreciated and if fatty, revisions with liposuction should resolve that.  If the scar is stuck in its position, it is contributing to the shelf phenomenon and a scar revision could be beneficial in that situation.  An exam is really needed to determine what may best be done to help you get a flatter tummy and of course, you should always be asking your surgeon since anything done may fall under the 'revision' umbrella and keep costs reasonable.