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