Lipo for Lumps from Cool Sculpting (Zeltiq)? (photo)

Is the lump after CoolSculpting a complication such as the rarely reported paradoxical adipocyte hyperplasia in which fat cells engorge whether from inflammation or from fat engorgement or from inflammation, or is it from a hernia that preexisted the treatment with CoolSculpting but wasn't noticed? If it is fat, focused liposuction with small cannulae can improve the contour but despite the small risk, an indentation can occur. A physician would have to examine a patient to... more

We have two years of experience with Coolsculpting and have not seen lumps resulting from Coolsculpting, any asymmetry that may persist after treatment however, could be treated with Exilis fat recontouring.

Liposuction would be a good way to remove the small bulges that were not responsive to coolsculpting. I prefer laser liposuction for these small areas as the small laser fiber cuts through the fibrous tissue very easily. Any experienced laser liposuction physician should get a good result. Other options would be a device like liposonix or ultrashape and in the future injectable lipolysis with product from Kythera or Lithera (when approved)