I'm reading Coolsculpting and PAH being common. UltraShape is painless and has great reviews? Which would you recommend?

Doctor Answers 5

Coolsculpting is the gold standard for noninvasive fat removal

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

PAH is extremely rare and shouldn't be a reason to not do the Coolsculpting procedure. PAH is about 1:10,000. There are minimal risks and over 2 million treatments with the Coolsculpting. There are much much fewer treatments with the Ultrashape. Side effects are related to the number of procedures performed and there will be rare side effects with any procedure.

Panama City Facial Plastic Surgeon
4.8 out of 5 stars 53 reviews

CoolSculpting Side Effects - Paradoxical Adipose Hyperplasia (PAH)

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

PAH, or Paradoxical Adipose Hyperplasia, is a rare situation in which adipose tissue (in this case fatty tissue) actually increases at the treatment location, rather than decreasing as desired. According to Zeltiq (the makers of CoolSculpting), the reported incidence of this condition is ~0.02% (1 in 5000). When considering CoolSculpting you should always review all of the potential side effects before deciding whether the procedure is right for you; however, PAH is extremely rare and CoolSculpting remains one of the best options for safe and effective non-surgical body sculpting. 

In our studies and usage, we've found CoolSculpting to be more effective than UltraShape, and would recommend CoolSculpting accordingly. Definitely seek a consultation in your area so that the specifics of your particular treatment regimen can be identified, and I recommend you ask to see before/after pictures done by that provider, not solely the company sponsored photos.

Paradoxical adipose hyperplasia with Coolsculpting

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Good question Matt.  What you are referring to is paradoxical adipose hyperplasia (PAH), and is an unusual  situation in which adipose tissue actually increases at treatment sites.  The reported incidence of this condition is only 0.005%, making this an exceedingly rare event.  This condition is treatable through liposuction.  I would not let this very rare complication dissuade you from considering Coolsculpting as it is a very safe and effective option for non-surgical fat reduction. 

Matthew M. Dunham, MD
Colorado Springs OB-GYN

Cool Sculpting and PAH

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Dear Matt, The occurrence of PAH in Cool Sculpting is 1 in 4000 based on their most recent publications from Zeltiq. It is a real but rare occurrence and what they do know is that it might be more common in men than women. With the being said, if it does occur it is treatable with liposuction. I believe the results with cool sculpting would be superior to Ultra Shape in my opinion. This is all contingent on if you're a good candidate for cool sculpting of course. Seek a consultation in your area overseen by a great medical practice with certified RN's who do the consults and make sure it's the right treatment for you! Best of Luck.

Getting great results with Coolsculpting, Vanquish, Venus Legacy, Exilis Ultra

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The chances of PAH with Coolsculpting are very rare. For best results, I recommend a combination approach. With Coolsculpting, I recommend adding a combination of radiofrequency treatments like Vanquish, Venus Legacy, Exilis Ultra for skin tightening and with Z wave/Cellutone for skin smoothing in order to get the best results. However, for the best results with contouring and fat removal, I recommend VASER HI DEF, with ThermiRF and ultrasound. See an expert for a formal consultation. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 203 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.