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Can SculpSure cause Paradoxical Adipose Hyperplasia (PAH)?

lifeofmomDec 21, 2021

I had Sculpture in 2014 or 2015. I have had a large firm lumpy area in my upper abdomen since then. Could this be the same problem caused by Coolsculpting? I just read about PAH today.

Answers (2)

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Dr. Michael I. Echavez, MD
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Dr. Michael I. Echavez, MD
Board Certified Facial Plastic Surgeon
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Answered on Aug 11, 2022
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Dr. Robert M. Lowen, MD
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Dr. Robert M. Lowen, MD
Board Certified Plastic Surgeon
4.9 | 113 Reviews
Answered on Dec 23, 2021
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Since both affect fat, I would have the SculpSure first. When you do Sculpsure too soon, like less than 6 weeks apart, you increase the chance of lumps. Since Emsculpt is also affecting the fat, it might be prudent to do the more fat specific treatment Sculpsure first followed by the milder...

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That is interesting, I was always taught exactly the opposite. You have only so many fat cells after puberty and do not make more. Your existing fat cells can get bigger or smaller depending on caloric intake. Destructive methods such as lipo, and Sculpsure remove those cells. They are gone and...

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Michael I. Echavez, MD

I am not aware of any reported cases of paradoxical adipose hyperplasia following treatment with SculpSure.

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