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

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.