I have factor 5 lieden. Can i have smart lipo with this disorder and be comfortable about not getting a life threatening clot?

There are 2 types of factor V leiden mutation. One has a much higher risk of dangerous blood clots than the other, but they are both high risk for surgery. Your risk of life threatening blood clots is something you must live with, but surgery will elevate this risk whether you see a hematologist or not. Taking blood thinners introduces additional problems for liposuction. In short, the risk is not worth it unless the surgery is essential to your health.

You will need a hematologist to evaluate you prior to considering surgery.Kenneth Hughes, MDLos Angeles, CA

Thanks for the question, I typically ask people with clotting issues to see a hematologist for an opinion on how to proceed, often the hematologist will suggest adding a medication that helps thin the blood to the post surgical medications