{"id":20857,"date":"2021-09-23T14:12:33","date_gmt":"2021-09-23T21:12:33","guid":{"rendered":"https://www.realself.com\/news\/?p=20857"},"modified":"2024-02-16T09:49:05","modified_gmt":"2024-02-16T17:49:05","slug":"linda-evangelista-coolsculpting-complication-lawsuit","status":"publish","type":"post","link":"https://www.realself.com\/news\/linda-evangelista-coolsculpting-complication-lawsuit","title":{"rendered":"Linda Evangelista Says CoolSculpting \u201cDeformed\u201d Her. Doctors Explain What Happened."},"content":{"rendered":"<?xml encoding=\"utf-8\" ?><p>In a heartbreaking Instagram <a href=\"https:\/\/www.instagram.com\/p\/CUJZa40tWXC\/\" target=\"_blank\" rel=\"noreferrer noopener\">post<\/a>, supermodel Linda Evangelista, 56, shared with her nearly 1 million followers the reason she has been evading the spotlight for the past five years&mdash;why she has become &ldquo;a recluse,&rdquo; as she says, &ldquo;while [her] peers&rsquo; careers have been thriving.&rdquo;&nbsp;<\/p><p>&ldquo;I was brutally disfigured by Zeltiq&rsquo;s <a href=\"https:\/\/www.realself.com\/nonsurgical\/coolsculpting\">CoolSculpting<\/a> procedure,&rdquo; she writes, citing a CoolSculpting complication called paradoxical adipose hyperplasia, or PAH, which can occur when the nonsurgical fat-freezing technology inexplicably backfires, causing fatty areas to enlarge rather than shrink. While the precise cause is unclear, some theorize that the device&rsquo;s cooling effect may spark a stem cell reaction, leading to a proliferation of fat cells, explains <a href=\"https:\/\/www.realself.com\/dr\/paul-jarrod-frank-new-york-ny\">Dr. Paul Jarrod Frank<\/a>, a board-certified dermatologic surgeon in New York City.&nbsp;<\/p><center><blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/CUJZa40tWXC\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"13\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/CUJZa40tWXC\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\"> View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/p\/CUJZa40tWXC\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\" rel=\"noopener\">A post shared by Linda Evangelista (@lindaevangelista)<\/a><\/p><\/div><\/blockquote> <script async=\"\" src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/center><h2 class=\"wp-block-heading\" id=\"h-linda-evangelista-s-coolsculpting-treatment\"><strong>Linda Evangelista&rsquo;s CoolSculpting treatment<\/strong><\/h2><p>Evangelista says that her treatment&mdash;she received seven rounds of CoolSculpting between August 2015 and February 2016&mdash;&ldquo;increased, not decreased, [her] fat cells, and left [her] permanently deformed, even after undergoing two painful, unsuccessful, corrective surgeries.&rdquo; She goes on to say, &ldquo;I have been left &hellip; &lsquo;unrecognizable.&rsquo;&rdquo;<\/p><p>The &rsquo;90s-era icon, who shared catwalks with fellow legends like Christy Turlington, Naomi Campbell, Cindy Crawford, and Claudia Schiffer, says in her post that the PAH and subsequent surgeries &ldquo;destroyed her livelihood&rdquo; in addition to triggering &ldquo;deep depression, profound sadness, and the lowest depths of self-loathing.&rdquo;&nbsp;<\/p><p>&ldquo;PAH is very traumatic for patients,&rdquo; confirms <a href=\"https:\/\/www.realself.com\/dr\/umbareen-mahmood-new-york-ny\">Dr. Umbareen Mahmood<\/a>, a board-certified plastic surgeon in New York City. &ldquo;Those whom I&rsquo;ve treated for PAH include fitness models, personal trainers, actors, and influencers&mdash;many of whom have careers tied to their physical appearance, and this causes them further emotional stress.&rdquo;<\/p><p>Evangelista has filed a lawsuit against the manufacturer of CoolSculpting, Zeltiq Aesthetics, a subsidiary of Allergan.&nbsp;<\/p><h2 class=\"wp-block-heading\" id=\"h-paradoxical-adipose-hyperplasia-diagnosis\"><strong>Paradoxical adipose hyperplasia diagnosis<\/strong><\/h2><p>The <a href=\"https:\/\/www.thefashionlaw.com\/evangelista-v-zeltiq-aesthetics-inc-complaint\/\">court documents<\/a> reveal that Evangelista had her abdomen, flanks, back, bra line, inner thighs, and chin treated by a board-certified dermatologist&mdash;and that within a few months of her final treatment, she developed &ldquo;hard, bulging, painful masses under her skin in those areas of her body treated with Zeltiq&rsquo;s CoolSculpting System.&rdquo; Evangelista was diagnosed with PAH in or around June 2016. &ldquo;Full body liposuction&rdquo; was performed, to attempt to correct the PAH, but according to Evangelista, the bulges recurred. She underwent a second round of lipo, which was also unsuccessful and supposedly left her with keloid scarring.<\/p><p>Evangelista alleges that Zeltiq &ldquo;failed to adequately warn and\/or intentionally concealed the incidence and occurrence of known serious adverse events, including, but not limited to, paradoxical adipose hyperplasia.&rdquo; She&rsquo;s seeking $50 million in damages for &ldquo;severe and permanent personal injuries and disfigurement, her pain and suffering, severe emotional distress and mental anguish, and the economic losses she sustained as the result of being rendered unemployable and unable to earn an income as a model.&rdquo;&nbsp;<\/p><p>Referring to advertising campaigns that promote CoolSculpting as &ldquo;a safe and effective noninvasive alternative to liposuction,&rdquo; the filing also accuses Zeltiq of &ldquo;unlawful, false, misleading, and deceptive marketing practices&rdquo;&mdash;a contention underscored in a separate <a href=\"https:\/\/www.classaction.org\/news\/abbvie-zeltiq-aesthetics-coolsculpting-system-can-cause-permanent-body-deformities-class-action-alleges\" target=\"_blank\" rel=\"noreferrer noopener\">class action lawsuit<\/a> that was filed against the company in June 2021. The suit aims to represent not only CoolSculpting patients who&rsquo;ve suffered PAH, but anyone who has purchased one or more cycles of the fat-reduction treatment.<\/p><div class=\"newsletter-signup\" id=\"newsletterForm\">\n    <h2 class=\"newsletter-signup__heading\" id=\"unlock-a-world-of-modern-beauty\">Unlock a world of modern beauty<\/h2>\n    <p class=\"newsletter-signup__text\">Stay up-to-date on trending news, popular procedures, and exclusive content.<\/p>\n    <div class=\"newsletter-signup__wrapper\">\n        <input class=\"newsletter-signup__input\" type=\"email\" id=\"newsletterEmail\" placeholder=\"Enter your email\">\n        <button class=\"newsletter-signup__button button\" onclick=\"submitEmail()\">SUBSCRIBE<\/button>\n    <\/div>\n    <div class=\"newsletter-signup__small\"><p><span style=\"font-weight: 400;\">By subscribing, you accept our <\/span><a href=\"https:\/\/www.realself.com\/real_self_privacy_policy.html\"><span style=\"font-weight: 400;\">Privacy Policy<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.realself.com\/terms-of-service\"><span style=\"font-weight: 400;\">Terms of Service<\/span><\/a><span style=\"font-weight: 400;\"> and agree to receive marketing emails.<\/span><\/p>\n<\/div>\n    <div id=\"newsletter-message\" class=\"newsletter-signup__message\"><\/div>\n<\/div><h2 class=\"wp-block-heading\" id=\"h-rare-coolsculpting-complications-and-side-effects\"><strong>Rare CoolSculpting complications and side effects<\/strong><\/h2><p>While CoolSculpting supporters have been quick to point out that PAH is, in fact, listed among the&nbsp;<a target=\"_blank\" href=\"https:\/\/www.coolsculpting.com\/pdfs\/CSC125713-v2_Important_Safety_Information.pdf\" rel=\"noreferrer noopener\">potential adverse events<\/a>&nbsp;on the CoolSculpting website, Evangelista&rsquo;s attorney maintains that &ldquo;Zeltiq&rsquo;s marketing material and the CoolSculpting website failed to mention the risk of PAH until after Ms. Evangelista underwent the procedures.&rdquo; In a formal statement, which the supermodel posted to her Instagram days after announcing the CoolSculpting lawsuit, her attorney asserts that&nbsp;&ldquo;Zeltiq failed to even include any general warning on CoolSculpting&rsquo;s main homepage until February 2019&Prime;&mdash;yet the company purportedly disclosed the risk of PAH to its investors years prior, warning them, in 2012, &ldquo;of possible &lsquo;additional liability from claims related to known rare side effects,'&rdquo; ranging from late-onset pain to hernia to PAH.<\/p><p>(RealSelf reached out to Zeltiq and Evangelista for comment and has not yet heard back.)<\/p><p>As RealSelf has previously reported, CoolSculpting comes with some <a href=\"https:\/\/www.realself.com\/news\/coolsculpting-risks-side-effects\">under-the-radar risks<\/a>&mdash;PAH being chief among them. &ldquo;PAH is localized to the treated areas&mdash;specifically, where the applicator was placed,&rdquo; explains Dr. Mahmood. &ldquo;I&rsquo;ve seen it in various places, including the abdomen, arms, back, and submental area [under the chin].&rdquo;<\/p><h2 class=\"wp-block-heading\" id=\"h-is-pah-from-coolsculpting-rare\"><strong>Is PAH from CoolSculpting rare?<\/strong><\/h2><p>While providers are obligated to disclose all potential CoolSculpting side effects and complications as part of informed consent&mdash;those documents you sign and initial prior to treatment&mdash;PAH tends to be dismissed as lightning-strike rare. (Per the lawsuit, the consent form Evangelista signed stated, &ldquo;It is unlikely but there is a small possibility of fat growing instead of going away.&rdquo; It never mentioned PAH by name.)&nbsp;<\/p><p>While the earliest <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4171727\/\" target=\"_blank\" rel=\"noreferrer noopener\">paper<\/a> published on this complication put the risk at approximately 1 in 20,000, the current incidence is unknown. &ldquo;The manufacturer-reported incidence was previously approximately 1 in 4,000 treatments, but more <a href=\"https:\/\/journals.lww.com\/plasreconsurg\/Fulltext\/2016\/03000\/Paradoxical_Adipose_Hyperplasia_after.63.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">recent studies<\/a> demonstrate a 1 in 138 incidence,&rdquo; notes Dr. Mahmood. &ldquo;The data is several years old and likely does not reflect the current incidence.&rdquo;<\/p><p>An <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33216910\/\">evaluation<\/a> published in the <em>Aesthetic Surgery Journal<\/em> in 2021, reviewing 8,658 cycles of CoolSculpting in 2,114 patients, across eight Canadian clinics, between January 2015 and December 2019, found the risk of PAH to be less than 1 in 2,000. Researchers suggest that men may be more prone to the side effect and that PAH is more strongly correlated with older versions of the device. &ldquo;The newer unit and applicator models have demonstrated a dramatic decrease of over 75% in the occurrence of PAH,&rdquo; the authors state.<\/p><p>Still, Dr. Frank believes PAH &ldquo;is severely <a href=\"https:\/\/www.sciencedaily.com\/releases\/2018\/06\/180629182037.htm\" target=\"_blank\" rel=\"noreferrer noopener\">underreported<\/a>, because most providers downplay its incidence to the patients.&rdquo; In some scenarios, he adds, &ldquo;patients will notice fat growth in the area [following treatment], and their providers will say they gained weight, so let&rsquo;s do it again.&rdquo;&nbsp;<\/p><p>&ldquo;I wouldn&rsquo;t call PAH a common complication,&rdquo; he adds, &ldquo;but it is certainly not rare.&rdquo;<\/p><p>With patients, like Evangelista, who&rsquo;ve been treated multiple times across several potentially overlapping areas, &ldquo;they can have PAH in a widespread distribution,&rdquo; Dr. Frank notes. &ldquo;I find that people who get multiple cycles in short periods of time&mdash;repetitive, in the same areas&mdash;tend to be the most at risk.&rdquo; He finds that &ldquo;the overwhelming majority of people who get CoolSculpting are not great candidates, they&rsquo;re oversold, and they aren&rsquo;t treated by a proper medical expert.&rdquo;<\/p><p>Dr. Frank has treated hundreds of CoolSculpting-induced PAH cases and stresses that correcting the problem &ldquo;is not easy&mdash;it can take multiple surgeries.&rdquo; But in his experience, he says, &ldquo;it is treatable, 100% of the time.&rdquo; And while he&rsquo;s never seen PAH return post-lipo, he acknowledges that &ldquo;because the exact pathophysiology is unknown, anything is possible.&rdquo;<\/p><div id=\"doctorCTA_shortcode\" style=\"text-align:center;\"><a class=\"button\" href=\"https:\/\/www.realself.com\/find\" style=\"padding: 15px;margin-top: 0px;margin-bottom: 1.75rem;width: 300px;max-width: 100%;\">Find Doctors Near You<\/a><\/div><h2 class=\"wp-block-heading\" id=\"h-more-about-paradoxical-adipose-hyperplasia-pah\"><strong>More about paradoxical adipose hyperplasia (PAH)<\/strong><\/h2><p><a href=\"https:\/\/www.realself.com\/surgical\/liposuction\">Liposuction<\/a> is the go-to treatment for PAH, but since previously frozen fat is essentially denatured&mdash;firm, scarred down, fibrotic&mdash;it can be quite difficult to remove, especially in a single operation. To free up the fat and make it easier to extract, surgeons will oftentimes enlist energy-based devices, like <a href=\"https:\/\/www.realself.com\/surgical\/power-assisted-liposuction\">power-assisted liposuction<\/a> (PAL) and ultrasonic tools like <a href=\"https:\/\/www.realself.com\/surgical\/vaser-liposuction\">VASER<\/a>. Still, PAH patients typically face a higher risk of contour irregularities&mdash;lumps, bumps, and uneven contours&mdash;as a result of the surgery.&nbsp;<\/p><p>&ldquo;I&rsquo;ve seen a fair number of PAH patients,&rdquo; says <a href=\"https:\/\/www.realself.com\/dr\/jason-pozner-boca-raton-fl\">Dr. Jason Pozner<\/a>, a board-certified plastic surgeon in Boca Raton, Florida. &ldquo;I have corrected it successfully in every case using VASER, which works very well on the fibrous areas.&rdquo;&nbsp;<\/p><p>PAH is generally described as a reversible hiccup&mdash;though this clearly was not Evangelista&rsquo;s experience. Dr. Mahmood tells us that in cases of severe PAH, which require more than one session of liposuction, &ldquo;the tissue will not go back to being completely &lsquo;normal,&rsquo; as it was originally.&rdquo; In this respect, the so-called disfigurement could, indeed, be considered permanent.<\/p><p>In select cases, if the PAH covers the lower abdomen and is accompanied by loose skin, surgeons may perform a tummy tuck, to physically remove the damaged tissue. According to Dr. Mahmood, however, this is a rare event: &ldquo;Many patients getting CoolSculpting have a few stubborn areas of fat that they want addressed&mdash;not a true pannus [or overhang of excess tissue]. So it is not very often that PAH patients need a full abdominoplasty, even if that would give them the best aesthetic result.&rdquo;&nbsp;<\/p><p>Once a diagnosis has been made, Zeltiq will reportedly pay for surgical correction of the PAH, on the condition that the patient signs a &ldquo;confidentiality agreement and release&rdquo;&mdash;agreeing not to publicize their experience and to release the company of all claims&mdash;which is something that Evangelista refused to do, according to the court documents.<\/p><center><blockquote class=\"instagram-media\" data-instgrm-captioned=\"\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/p\/CUQj5jkLaM5\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"13\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/p\/CUQj5jkLaM5\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; 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font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\"> View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/p\/CUQj5jkLaM5\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\" rel=\"noopener\">A post shared by Linda Evangelista (@lindaevangelista)<\/a><\/p><\/div><\/blockquote> <script async=\"\" src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/center><p>Evangelista&rsquo;s post received an outpouring of love from the boldest names in beauty and fashion, commending her for her strength and transparency and reminding her of her eternal beauty and indelible influence. Members of the aesthetics community chimed in too, offering their services as well as assurances that her condition can be fixed and her confidence restored.&nbsp;<\/p><p>While this remains to be seen, hopefully Evangelista&rsquo;s forthright admission about seeking cosmetic work and suffering unfortunate consequences&mdash;along with the public&rsquo;s overwhelmingly supportive response to her story&mdash;will allow patients to honestly speak their truth, as Evangelista did, with their &ldquo;head[s] held high.&rdquo;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>In a heartbreaking Instagram post, supermodel Linda Evangelista, 56, shared with her nearly 1 million followers the reason she has been evading the spotlight for the past five years&mdash;why she has become &ldquo;a recluse,&rdquo; as she says, &ldquo;while [her] peers&rsquo; careers have been thriving.&rdquo;&nbsp;&ldquo;I was brutally disfigured by Zeltiq&rsquo;s CoolSculpting procedure,&rdquo; she writes, citing a [&hellip;]<\/p>\n","protected":false},"author":118,"featured_media":20871,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[22341,9076],"tags":[36,27,7738],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v20.0 (Yoast SEO v23.0) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>CoolSculpting Side Effects: What Happened to Linda Evangelista? | RealSelf News<\/title>\n<meta name=\"description\" content=\"Supermodel Linda Evangelista announced on Instagram that a CoolSculpting side effect called paradoxical adipose hyperplasia left her deformed. 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