Hello and thank you for your excellent question. It sounds as though you have lupus / anti-phospholipid syndrome. This leaves you at an increased risk for thrombotic / blood clotting issues. You would need medical clearance, and may need modification of your medications around the time of surgery, but you can still have liposuction. It is well-established that awake liposuction is safer than liposuction under general anesthesia, and this will be something that you should carefully consider. You may want to look into a minimally invasive, quick recovery body contouring procedure. We use a combination of non-surgical, minimally invasive techniques including liposuction, laser, radiofrequency (RF), and acoustic therapy to produce the best balance of fat reduction, skin tightening and smoothing for your body type and anatomy. In many patients, we also use Emsculpt to help each patient reach his or her desired result. These procedures are typically performed in the office, with only local anesthesia. Patients literally “walk in”, and “walk out” after the procedure, do not need narcotics for pain control, and can return to light exercise and work one to two days after their procedure. In my practice, we select the appropriate treatment for each patient based on their skin quality, amount of fat and surgical goals. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate you. Preoperative visualization with Crisalix can simulate what your body will look like, and can help you make your decision. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. Good luck!