Is someone researching the problem of hyperplasia?

Question

If I had known, I would have not gotten the procedure. I told the tech that I was prone to keloid scar formation. Two and a half months after Cool Sculpting, a hard 6 in long ball formed under my belly button and I cannot bend or sit without it getting in my way. It feels like when the machine was first taken off. I will volunteer my experience to anyone that can spare future patients of this disaster.

Edward Stokes, MD · Answer

I'm so sorry to hear that you were not happy with the results of your CoolSculpting treatment. Paradoxical Adipose Hyperplasia or PAH, is a very rare occurrence which only presents in 1 out of 10,000 patients treated with CooSculpting.  The fact that you are prone to keloid scarring is actually unrelated and would have absolutely no bearing whatsoever regarding the possibility of developing PAH. The keloid scar forms in the epidermis and dermis, whereas  PAH is a formation of visceral fat below the dermis.  If you haven't already, I would suggest a follow up visit with your Coolsculpting provider.  If what you are experiencing is actually PAH, they will call in a clinician from Zeltique (CoolSculpting Corporate) to take a look and verify.  If it is PAH that you are experiencing, Zeltique wil pay to have the area  treated with liposuction.  Although this would not be your desired outcome overall, at least there is a solution that will be of no cost to you.  Good luck with your progress moving forward.

Monika Soni, MD · Answer

I am so sorry that you had to experience that. It is a rare side effect and it can be treated surgically and with liposuction. Your provider is obligated to inform you about chance of paradoxical hyperplasia. Good luck!

Hardik Soni, MD · Answer

I am so sorry that you had to experience that. It is a rare side effect and it can be treated surgically and with liposuction. Your provider is obligated to inform you about chance of paradoxical hyperplasia. Good luck!

Amy Brenner, MD · Answer

I am sorry to hear you developed PAH (paradoxical adipose hyperplasia). It is a very rare side effect from coolsculpting, but completely fixable! Although there is no indication of who this can happen to, I do not think your history of developing a keloid scar is the reason this happened. The office that did your coolsculpting should be able to guide you through the steps of getting this fixed.

Burton M. Sundin, MD · Answer

Paradoxical hyperplasia is a rare side effect. It is not common. It can be treated with liposuction. Check with your doctor and they can discuss with Coolsculpting.

Jeffrey M. Hartog, DMD, MD · Answer

Paradoxical Adipose Hyperplasia is a very rare side effect that can occur from CoolSculpting.  It should mention it on your consent forms you fill out before getting the treatment.  Since there is no way of knowing if this may happen to a patient, the company Zeltiq usually will help out in some way with fixing this rare side effect.  At the moment, the only way to fix PAH is with liposuction.  Make sure to talk to your CoolSculpting provider and take after pictures (at 3 months) to help with this issue.

Is someone researching the problem of hyperplasia?

Answers (6)

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