Can I do a lipo, lipectomy and breast augmentation with my own fat if I have Lupus?

If you have Lupus which is active, I would postpone your surgery until your condition is in remission. Also, if you are taking high doses of steroid medication, that can have an adverse affect on your body accepting the fat. 

Hello, and thank you for your question. Your lupus should not interfere with your ability to use fat grafting for a breast augmentation. However, your lupus may inhibit your ability to undergo surgical procedures, even minimally invasive ones like liposuction. Immunocompromised individuals are at a much higher risk for complications like infection or poor healing. You will first need clearance from the doctor who is treating your lupus. Then, you will need to work closely with both your specialist and your plastic surgeon to ensure that your lupus is well-controlled, that your medications will not interfere with your surgery and that there are no other lifestyle factors that may prevent you from being a candidate for these procedures.
I recommend speaking with your specialist first to determine if they believe you are healthy enough for cosmetic surgery. Then, you should schedule a consultation with a board-certified plastic surgeon with demonstrated experience in liposuction and fat transfer augmentations to determine if you can safely achieve your aesthetic goals with these procedures. Good luck!

To ensure your safety during surgery and recovery, your PS will likely want medical clearance from your specialist before performing the lipo, breast augmentation, and lipectomy.  
Kenneth Hughes, MD, ABPS Board Certified Plastic Surgeon
Los Angeles, CA