If you have an abnormality on your EKG such as a irregular heart beat you will need to have it worked up medically prior to surgery. The prudent thing to do would be to have a cardiology evaluation.
Many patients have slightly irregular heart beats. The type of irregularity, the significance of it, treatment if any is needed for it and whether you are a candidate for surgery would depend on your evaluation by a cardiologist. I would suggest medical clearance by the cardiologist and communication between the cardiologist and the plastic surgeon who should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) to determine whether it is safe before proceeding with any cosmetic procedure. Robert Singer, MD FACS La Jolla, California