Can I get a tummy tuck if I've had a heart attack and do I require clearance from my cardiologist?

I personally would not do this procedure. You may find someone willing. If so, they should at minimum have you see a cardiologist for clearance which would likely involve a stress test. They should then do your procedure in a hospital and have you stay overnight with appropriate monitoring. Best of luck.

Yes, clearance from your cardiologist is a really important step in planning surgery when you have had a heart attack in the past.
Congratulations on quitting smoking and exercising regularly, these will have a very positive impact on your health.

Thank you for your question. This is a tough situation and it will be a case of balancing the risk versus gain.The gain is the improved psychological well-being that a tummy tuck provides versus the risk of potentially making your physical health worse.I'm assuming that you are taking some form of blood thinner to protect the stent and also reduce the risk of future cardiac problems. Being on a blood thinner although not a complete no no (contraindication) it does increase the risk of bleeding post-operatively and also the risk of developing a seroma. Your cardiac function will also need to assessed to ensure that a general anesthetic is also safe in your case. Your plastic surgeon and anesthetist will need to lease with your cardiologist to see if the procedure is possible and if possible then to make things as safe as possible for the procedure.