Low heart rate ( less than 60 beats per minute) could be secondary to either medical condition or excellent body fitness.Low heart rate secondary to medical conditions ( e.g coronary disease, miocarditis, etc) or medications requires evaluation by either a PCP or cardiologist and "clearance" prior undergoing elective cosmetic plastic surgery procedures like a tummy tuckLow heart rate secondary to excellent body fitness, usually found in athletes (where excellent physical conditions causes the heart to be enlarged, and therefore have a resting heart rate is lower than norma) might not be a contraindication for elective cosmetic plastic surgery. However, even on these cases, patients should undergo evaluation by their primary care physician, anesthesia team and cardiologist if necessary before any surgery.
Thank you for your question. A heart rate of 54 in a healthy, active adult is very good. You will need a pre-operative physical examination by your primary care physician to ensure you are safe to undergo general anesthesia. For the best results, please meet with a board certified plastic surgeon who commonly performs cosmetic surgery. Hope this helps and good luck!