Since you already have a medical clearance from your cardiologist, the next most important question is what is your BMI. A BMI over 30 increases your chances of having significant complications which then may be even more complicated due to the presence of a pacemaker.I highly recommend an in person examination with a Board Certified plastic surgeon experienced in abdominoplasties. Since time in the operating room should be kept to a minimum due to your pacemaker, I suggest your breast surgery and any liposuction be postponed until a second surgery.Once you achieve an optimal stable weight loss, do your due diligence and make appointments with at least three Board Certified plastic surgeons experienced in the Mommy Makeover.
I would recommend losing some weight prior to having a mommy makeover as you will decrease your risk of complications and also have a better cosmetic result. Strive for a BMI (body mass index) in the 25-30 range, which is under the obese cutoff. You should also consider having your procedure performed in a hospital setting due to your pacemaker.Best wishes,Dr.Bruno