Paradoxical Adipose Hyperplasia after Cool Sculpting?

True Paradoxical Adipose Hyperplasia (PAH) is a rare delayed side effect of CoolSculpting. It happens in approximately 1 out of every 20,000 people who get CoolSculpting and for some reason is more common in men. At this time, there is no evidence of spontaneous resolution of PAH. When necessary, treatment of PAH has relied on liposuction or abdominoplasty.A little more common is prolonged induration and firmness of the treatment area which is caused by an exaggerated inflammatory response. This usually does resolve on its own, although it may take several months. I would make sure you have close continued follow up with your treating physician. Your physician should report this occurrence to the device manufacturer. Best of luck to you.

We could not agree with you more. While it is not clearly understood, the few patients who have such a condition when it is well documented with good pre and post procedures would do well to be in the treatment plan of a plastic surgeon. If your treating physician (and ask to see the physician) is not able to take your care to the next level with liposuction or a tummy tuck then you have limited options. 

Plastic surgeons who are board certified have been well trained and are experienced at caring for patients whose have complex and varied medical outcomes and can adapt to multiple scenarios. Coolsculpting has treated millions of patients and have a very strong track record of delivering on improved abdominal contours with non surgical treatments. The best way to ensure that you are comfortable with your is to be with a physician who can treat you non surgically as well as surgically.

I appreciate your question.This is rare but is treated with liposuctionThe best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.best of luck!Dr Schwartz

So sorry that you had to be the unlucky one.  You can have liposuction to correct the area of fat hyperplasia.

This is a rare but recognized occurrence following CoolSculpting in some patients.  Losing weight Oor performing other noninvasive procedures unfortunately will not address this condition.  Fortunately it has been highly responsive to liposuction.Again, I am sorry to learn of your experience.

The best option for this condition is body contouring/liposuction.  I have seen cases and treated these successfully with body contouring but trying other types of non invasive options may be helpful -- ultrashape, velashape, liposonix etc.  Best, Dr. Emer

Paradoxical Adipose Hyperplasia is a very rare side effect of CoolSculpting, it usually onsets 2-3 months post treatment and at the moment, there is no evidence to suggest that it resolves on its own. The key indications of PAH are enlarged and firm tissue in the area of treatment (as you describe). Based on my experience, the best way to treat PAH is with liposuction. Depending on the severity of the PAH, your surgeon may choose to use general or local anesthesia. At my practice, we also help our patients who show symptoms of PAH submit a case to Zeltiq (now Allergan), which if approved, covers the cost of treatment to fix the PAH

Hi...it is quite disturbing to have PAH but fortunately, liposuction can be of assistance.   You have options and those should be discussed with your plastic surgeon.  Once you have reached a 6 month mark or so, then you can assume that the hard fatty tissue is PAH and then move forward.  We have seen once case of this on a patients upper back.  It responded nicely to liposuction.  The abdomen has several approaches for the PAH.    I hope you and your doctor are able to work this out.  

This growth of fat after coolsculpting is very rare but does happen. The only treatment that we know works at this time is liposuction. I have done 3 cases so far and have used vaser liposuction to treat with good results.

Last I heard, there were about 20 cases of this reported.  I believe the only "cure" for this is liposuction.  If this is an isolated area, it could be done under local with minimal downtime.