31y, female, slim body with stubborn areas. I have scleroderma which is now controlled, I am off prednisone and still on immunosuppressants. I have my rheumatologist permission to try coolsculpting. On the cosmetic side, as a background , I had abdominal lipo 2 years ago: developed two tiny lipomas in lower abdomen (not visible), and somehow the fatty tissue in my love handles reappeared just 1 year after. I am especially concerned about developing PAH. What is your advice?
Answer: CoolSculpting candidate Hi ninphacall. Thank you for the great questions. You are well versed in your body and your current condition, and this is definitely something you'd want to talk to your CoolSculpting provider about during a consultation regarding candidacy. With doing CoolSculpting, you may have a slower healing response or possible issues with scar tissue. As per PAH, Allergan released statistics in 2017 regarding the newer CoolAdvantage applicator series (circa 2016) stating that risks of PAH had decreased from 0.029% to 0.0036%, nearly 10 times lower than with the previous generations of applicators. Thankfully our office has not seen anyone with PAH. I hope this helps!
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Answer: CoolSculpting candidate Hi ninphacall. Thank you for the great questions. You are well versed in your body and your current condition, and this is definitely something you'd want to talk to your CoolSculpting provider about during a consultation regarding candidacy. With doing CoolSculpting, you may have a slower healing response or possible issues with scar tissue. As per PAH, Allergan released statistics in 2017 regarding the newer CoolAdvantage applicator series (circa 2016) stating that risks of PAH had decreased from 0.029% to 0.0036%, nearly 10 times lower than with the previous generations of applicators. Thankfully our office has not seen anyone with PAH. I hope this helps!
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November 15, 2018
Answer: Coolsculpting Candidate--VASER HI DEF 4D Liposculpture, ThermiRF, fat grafting, Vanquish, Zwave, Cellutone The risk for PAH is low and you may still be a candidate for Coolsculpting. For best results with Coolsculpting, a combination approach is needed. I recommend adding radiofrequency treatments like Vanquish, Venus Legacy, Exilis Ultra for skin tightening and with Z wave/Cellutone for skin smoothing. VASER with ThermiRF is a great alternative. Best, Dr. Emer
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November 15, 2018
Answer: Coolsculpting Candidate--VASER HI DEF 4D Liposculpture, ThermiRF, fat grafting, Vanquish, Zwave, Cellutone The risk for PAH is low and you may still be a candidate for Coolsculpting. For best results with Coolsculpting, a combination approach is needed. I recommend adding radiofrequency treatments like Vanquish, Venus Legacy, Exilis Ultra for skin tightening and with Z wave/Cellutone for skin smoothing. VASER with ThermiRF is a great alternative. Best, Dr. Emer
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Answer: Please ensure that you have a one to one consultation with a certified provider Thank you for your question! Please ensure that you have a one to one consultation with a certified provider in a clinic with Medical/Doctor supervision. Immunosuppressive treatments are not contraindications but should be considered seriously, post-inflammatory response may lead to the formation of scar tissue. As to PAH, the risk of developing this complication is 0.02%, very rare! As to lipomas, Coolsculpting doesn’t cause lipomas but may expose preexisting ones! Best of luck!
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Answer: Please ensure that you have a one to one consultation with a certified provider Thank you for your question! Please ensure that you have a one to one consultation with a certified provider in a clinic with Medical/Doctor supervision. Immunosuppressive treatments are not contraindications but should be considered seriously, post-inflammatory response may lead to the formation of scar tissue. As to PAH, the risk of developing this complication is 0.02%, very rare! As to lipomas, Coolsculpting doesn’t cause lipomas but may expose preexisting ones! Best of luck!
Helpful
November 18, 2018
Answer: Medical history and Coolsculpting Dear Ninphacall, thank you so much for your question, good one! Please ensure that you have a one to one consultation with a certified provider in a clinic with Medical/Doctor supervision. Immunosuppressive treatments are not contraindications but should be considered seriously, post-inflammatory response may lead to the formation of scar tissue. As to PAH, the risk of developing this complication is 0.02%, very rare! As to lipomas, Coolsculpting doesn’t cause lipomas but may expose preexisting ones! Hence good examination of the area pretreatment is needed! Good luck, Dr. G x
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November 18, 2018
Answer: Medical history and Coolsculpting Dear Ninphacall, thank you so much for your question, good one! Please ensure that you have a one to one consultation with a certified provider in a clinic with Medical/Doctor supervision. Immunosuppressive treatments are not contraindications but should be considered seriously, post-inflammatory response may lead to the formation of scar tissue. As to PAH, the risk of developing this complication is 0.02%, very rare! As to lipomas, Coolsculpting doesn’t cause lipomas but may expose preexisting ones! Hence good examination of the area pretreatment is needed! Good luck, Dr. G x
Helpful
November 15, 2018
Answer: Scleroderma and Coolsculpting PAH (Paradoxical Adipose Hyperplasia) after Coolsculpting is a rare phenomenon. It is actually not fat but fibrous tissue - scar. I think that you are at an increase risk for this given the fact that you have Scleroderma, a collagen problem with your skin. I still think the chances are low though. In general, CS is a great way to fix minor problems after liposuction. It is a no downtime, noninvasive procedure to permanently reduce fat pockets. I always use the Zimmer Z Wave afterwards to maximize the benefits of the procedure.
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November 15, 2018
Answer: Scleroderma and Coolsculpting PAH (Paradoxical Adipose Hyperplasia) after Coolsculpting is a rare phenomenon. It is actually not fat but fibrous tissue - scar. I think that you are at an increase risk for this given the fact that you have Scleroderma, a collagen problem with your skin. I still think the chances are low though. In general, CS is a great way to fix minor problems after liposuction. It is a no downtime, noninvasive procedure to permanently reduce fat pockets. I always use the Zimmer Z Wave afterwards to maximize the benefits of the procedure.
Helpful
