I had a stroke 3 years ago. I went from a size 20 to a size 12. I want a mommy makeover, arm lift, and BBL. Is it safe?

Thank you for your great question. As important as feeling better about yourself potentially through cosmetic surgery, the most important thing is always your safety. As there are many different types, causes and after effects or stroke including different medications that patients may be taking long term for future prevention, the safety of proceeding is a very individual decision that needs to be thoroughly discussed between yourself, your plastic surgeon, the anesthesiologist and most importantly your primary medical doctor or neurologist who is following you closely and managing and stroke prevention medications. I encourage you to speak with your PMD/neurologist first to see if they think undergoing elective cosmetic surgery is safe and ensure your current medical condition and/or medications will not increase the risk of adverse events during and after any procedures. After this you should also meet with a board certified plastic surgeon to discuss your various surgical options, which can be safely combined in a single operative setting, and again what is safest given your medical condition and medication regimen. Best of luck!

You do not mention the cause of your stroke, what your risks for another stroke are, or if you are on anticoagulants, as these factors would all affect the level of risk. Regardless , you would need a thorough medical evalation to determine if it is at all feasible to undergo these procedures. Remember, these are not medically necessary and taking any undue risks is not reasonable .

If medical clearance can be obtained based upon more specific information and examination, elective surgery can be considered.  Because of your medical history, recommend that you discuss staging the aesthetic procedures to decrease the risks of complications during and after surgery.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

Combining multiple plastic surgery procedures into a single operation is common. The key to safety is making sure that the patients we operate on are healthy (we would get pre surgical clearance from your pcp) and not exceeding certain time frames. Typically I don’t offer surgeries that will take more than six hours to complete. A consultation is the place to start to learn more about what is possible for your anatomy and interests. Good luck!!

Your safety is always the number one priority.  You will need to first get medical clearance before considering plastic surgery.  Due to your past medical history you should consider breaking the procedures you are considering into two stages.  This will shorten the time you are under anesthesia.  Your surgeon and anesthesiologist will also need to consider any medications you currently take.

You would need to discuss this with both your PS and anaesthetist for you to be empowered to have such a combination. You may be better to split procedures.

It depends on the details. There are different types of strokes and different causes. That along with your general medical condition and medications will help determine that.

Thanks for such a good question. After a stroke the risk of having another  remains  high, even more when the body is subjected to the stress of a surgery. For sure you are anticoagulated, and is much to risky for you to stop the medication in order to have surgery.My very personal recommendation is for you not to opt  for elective surgeries like Aesthetic  Plastic Surgery, but reserve the risks for important procedures that really concerns your general health. Member of the American Society of Plastic Surgeons (ASPS)

I am sorry to hear about the stroke you suffered; hopefully, you have fully recovered and are doing well.Generally speaking, combination surgical procedures are done routinely. However, you are wise in being concerned about the safety of combination surgery; risks/possible complications do increase with increased length of surgery… Careful evaluation of your past and current medical condition is necessary prior to determining your "suitability" for the procedures under consideration.   In your case, this "medical clearance" may be best obtained from your internist or neurologist. The physicians who know you best will be your best resource when it comes to answering the above question.
 Once you have obtained this "medical clearance", it will be important that you select your plastic surgeon carefully. During the consultation process, after a complete history and physical, the SAFETY of combining these surgical procedures becomes of paramount importance. Plastic surgeon, anesthesia provider, duration of surgery, surgery facility all important considerations. 
Again, your best bet: choose your plastic surgeon very carefully; everything else including good judgment/advice/planning, anesthesia provider and safe surgery facility will follow. Best wishes.

Thank you for your question. While it is possible for people to undergo plastic surgery after a stroke, it depends on the individual. I recommend that you schedule a consultation with a board-certified plastic surgeon and talk with them about your medical history and options. Your surgeon will want to coordinate with your physician to ensure that you are medically cleared for the procedures, as your safety is our number one concern. Good luck!
Best,
Rupesh Jain, MD