Each patient is different but the general guidelines are similar.
- You must get a written medical clearance from your cardiologist for surgery and any form of anesthesia.
- The Afib should be controlled as much as possible and any meds that would increase your health risks identified and avoided. This may include the eipinephrine in the local anesthetic that is injected into tissue in order to control and minimize bleeding.
- In a common sense approach the time of anesthesia and therefore surgery should be limited to 1 1/2 to 3 hours max in my opinion.
These are the bare minimum requirements, in my opinion and you must understand that an experienced plastic & cosmetic surgeon may still refuse to do the surgery if he/she perceives the risk, to you, as too high.