In general, a prior spinal fusion should not be a contraindication to undergoing a facelift. I would suggest that your plastic surgeon discuss your individual situation with the surgeon who performed the spinal fusion to see if any specific precautions needed to be taken during the procedure.It is important to realize that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California