How likely is paradoxical adipose hyperplasia with CoolSculpting in men?

To answer your question - it is incredibly unlikely that you will develop this condition following Coolsculpting. If you look into the history of this following Coolscuplting, you will see that the statistical likelihood of this happening is less than 1%.

This is a 1 in 3500 chance but is more likely in men than women according to the last clinical paper I have read on this issue. You won't have many places that have physicians doing it and that truly doesn't matter as well as you're in a place with certified providers- you can check that on the coolsculpting web page, find your location and it will have the logo next to the practice if they are certified and went through the appropriate education process. Check your provider too. If you do get PH which is rare it is treatable with liposuction. Best of luck.

I have seen it once in the last 8 years. The only way to avoid the risk is to not have the procedure - blunt but accurate information. It all depends on how you would cope should you get the reaction. If this is totally unacceptable to you , then don't do it. But you have an extremely high chance of being satisfied!Make sure you get assessed properly. The treated area really needs to fill applicator so that all the tissue is cooled. 

I have seen paradoxical fat hypertrophy twice after Coolsculpting.  I can't quote an incidence of this happening, but I know it must be rare.  The paradoxical fat is very rubbery, and the only way to treat it is with Ultrasonic, or Vaser liposuctioning.  This requires a general anaesthetic.
Because of this potential risk, I have put Sculpsure in my clinic that uses laser energy to dissolve the fat.  Paradoxical fat hypertrophy has not been described with this form of treatment.  There are other energy sources that treat fat non surgically as well,