Has PAH occurred from the CoolMini applicator?

Hello sambell5,
In rare cases, Paradoxial Adipose Hyperplasia (PAH) can
occur. There is no way to guarantee what your reaction to the treatment will
be.  There have been millions of cycles
completed world-wide, with very few reports of PAH, the most common being in
the abdomen. It is important to follow up with your Coolsculpting provider to
ensure any questions or concerns are addressed in a timely manner.
 
Best of Luck!
Dr. Thomas E. Kaniff

The technology for Coolsculpting has changed to have less suction on the tissue, and more cooling over a shorter time period with cups or parallel plates that cool the tissue.  PAH is rare but more common with suction applicators.  Our Coolsculpting Practice Development Managers tell us that cases of PAH have not been reported with Cool mini.  There is a risk of temporary marginal mandibular nerve injury that can leave you with a crooked smile for a few weeks till it resolves.  This is also unusual, but your doctor should discuss all potential risks with you before performing the procedure.

With both the Cool Mini and regular CS, PAH is very very rare. Mostly these are case reports in the literature- I have not had a single patient with this issue.