your board certified PS can discuss this with your hematologist. You certainly cannot have smartlipo done if you are on anticoagulants now. However, i am presuming you had them in the past. you need to establish why you got them in the first place. Chances are that if the Smartlpo is done in the office under local anesthesia with just some oral sedation your risks should be very low. the risks are definitely higher if you are put to sleep.if your risk was higher, your PS could put you on Lovenox post op but this should not be necessary if it is done under localdavid berman