How to determine if I have Paradoxical Adipose Hyperplasia, can diet and exercise reduce the enlarged area? (photo)

Paradoxical adipose hyperplasia is extremely rare, but I see this everyday in my practice.  Weight might play a role in this or fat was redistributed back to that area. In my practice I offer various treatment but I have seen the biggest change with the VASER hi def procedure as this type of fat is very fibrous and needs an energy based device to remove it.   Best, Dr. Emer.

I wish we know who was at risk for this but we don't.  I do let my patients know that if hyperplasia occurs (which it never has), I will perform liposuction on them for free... that is how rare it is. 
Best of luck,

Sheila Nazarian

Thank you for your question. It is difficult to tell from your photo. I would recommend speaking directly with your treating physician. If you do have paradoxical adipose hyperplasia, liposuction would be the only way to treat it. This would be covered by Zeltiq. Regards,

True Paradoxical Adipose Hyperplasia is extremely rare and happens in less than 1% of CoolSculpting treatments. In these cases the fat is usually more firm than before your treatment. Have you gained weight since your treatment? Did you follow up at the recommended intervals after your treatment  so that your progress could be tracked? If you haven't already, you should follow up with your treatment provider. These cases are submitted to Zeltiq's clinical department for further investigation. Best wishes.

This is an extremely rare side effect from coolsculpting. I have never seen it in my practice.  The only way to treat this is with liposuction.  You should be re-evaluated by your treating physician who can determine if this is truly paradoxical adipose hyperplasia. Coolsculpting has a protocol to document this and will usually cover any treatment that is needed to correct this.