In short, yes -- you should not have liposuction if your platelets are abnormally low (ie below the lowest level for the normal range). Obviously, you should first try to determine the cause of your low platelets. Some people normally have a lower range of platelets -- and if there is no history of abnormal or excessive bruising or bleeding, then one could have liposuction. On the other hand, if a hematologist determines that there is a cause for your low platelets, then that treatment should certainly take precedence over having liposuction.Understand, when lipo is performed, there is some small damage to blood vessels -- that is why people have some bruises after lipo. There are no large incisions through which the surgeon can stop any bleeding. The only way bleeding stops is with the use of a post-op pressure garment and the patient's own ability to clot, which starts with adequate numbers of platelets.Hope you understand.Elliot W. Jacobs, MD, FACSNEw York City