Can lipolaser help paradoxical adipose hyperplasia? Got CoolSculting done last year. 1/2 the area started to form a hard lump.

Question

This area had to be redone and the machine had shut off by itself. the treated area that has doubled in size was the side that had the double treatment in the same day. I don't really want to do liposuction but I think that once I get pregnant eventually it will look like I have a tumour or something. Thanks for you advise.

Hung William Song, MD · Answer

The best way to treat PAH is with either Vaser or Tickle Lipo. It can also be treated non-invasively with Sculpsure but you will need multiple treatments. I had developed PAH after coolsculpting myself and was able to treat it with Sculpsure.

Jason Emer, MD · Answer

This needs an in-person evaluation, but paradoxical adipose hyperplasia needs a hi definition procedure like VASER liposuction to get the best result. I use VASER HI DEF with ThermiRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned and smoothest result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

Roby F. Hayes, MD · Answer

VASER Lipo is the preferred treatment for the rare CoolSculpting complication of paradoxical adipose hyperplasia (PAH).

Shalini Gupta, MD · Answer

Fortunately Paradoxical adipose hyperplasia is not commonly encountered with the new coolsculpting applicators.  However, the best way to treat this would be with liposuction.  I use Vaser liposuction for smoother, more complete results with less trauma (bruising and swelling) and the quickest recovery for patients.  Another possibility would be to try Sculpsure if a no recovery time procedure is preferred.  There have been no reports of PAH with Sculpsure.  We get really great results when we use Exilis Ultra right before a Sculpsure application followed by Zwave.  Best wishes, Dr. Gupta

Can lipolaser help paradoxical adipose hyperplasia? Got CoolSculting done last year. 1/2 the area started to form a hard lump.

Answers (4)

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