Tummy Tuck and Liposuction Near Spinal Fusion Scar

Question

I'm having a Tummy Tuck and Liposuction on my hip, near the scar from spinal fusion 2 years ago. Is it safe to have these procedures done on the area?

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding the safety of undergoing a tummy tuck and liposuction near a spinal fusion scar.

The proximity of your spinal fusion scar to the area where you plan to have liposuction and a tummy tuck does raise some important considerations. The primary concern is ensuring that the blood supply to the tissues is not compromised, as this could affect healing and the overall success of the procedure.

Generally, liposuction can be performed safely near scar tissue, including a spinal fusion scar, as long as your surgeon is mindful of the scar and any underlying structures. The most significant factor is the blood supply to the area. If the blood supply to the tissues is adequate, the risk of complications is minimized. Your surgeon will likely recommend focusing liposuction on areas like the love handles or flanks, where the procedure is less likely to interfere with the blood supply to the tissues around your spinal fusion scar.

Make sure to discuss all of your concerns with your plastic surgeon, including the location of your spinal fusion scar, so they can tailor the procedure to your unique needs and ensure the safest and most effective outcome.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS

Vincent N. Zubowicz, MD · Answer

Presuming you are talking about an anterior approach for the fusion, the scar will  come into play during a tummy tuck.  Some adjustments in operative planning might need to be made if blood supply to a section of skin becomes an issue but on balance you should be able to proceed safely with the operation.

Otto Joseph Placik, MD · Answer

The spinal fusion scar should not interfere with your planned abdominoplasty and liposuction procedure.

Pat Pazmino, MD, FACS · Answer

Tummy tucks are a very popular and effective way to contour the abdomen and trunk. Tummy tucks can safely be done on abdomens that have previous stars. During the procedure, there will be scar tissue underneath the scar you see on the skin. It is also possible that the muscle directly underneath the scar may be weak or separated. This will need to be repaired during the surgery. For this reason, it is essential that you work with a board-certified plastic surgeon was great to experience in tummy tuck surgery and hernia repairs. They will be able to assess your abdominal wall and determine if you have an incisional hernia. Either way, during the procedure is essential that your surgeon has experience in working with these types of scars and the effects of the muscles underneath.

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Steven Wallach, MD · Answer

It should be pretty safe because the spinal fusion scar is usualy midline in the back.  Liposuction is not usually done in that region. Scars and liposuction are more concerning on the front of the abdomen for fear of a fascial defect leading to the cannula accidentally injuring bowel.

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Tummy Tuck and Liposuction Near Spinal Fusion Scar

Answers (7)

Answer: Tummy tuck after spinal fusion

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