I have lipedema in my lower structure and I am on blood thinners. Would you advise liposuction?

I suggest seeking out only a subspecialist for this treatment, but you cannot be on blood thinners.  Dr. David Amron of Beverly Hills is the only physician I know who can help you.  Best, Dr. Emer.

Liposuction is an elective aesthetic procedure and no patient should assume inordinate risks to undergo this operation. You should be fully cleared by your hematologist before considering cosmetic surgery.

If I understand you correctly, these two issues make you a poor candidate for liposuction. It would be unsafe for you to proceed.

Simply, should not be done.  If you can safely be taken off your blood thinners with the approval of your dorctors for a while, then you might consider it.