Is there a non-surgical solution to paradoxical adipose hyperplasia resulting from Coolsculpting?

The best results I have gotten in my hands are VASER contouring procedures.  However, we have used sculpsure and vaniqush with cellutone and had decent outcomes.  Dr. Emer.

Another option to target and treat an area of PAH with a non-invasive option is to inject Kybella, which would be off label from the original FDA approval for the treatment of submental fat. Kybella contains deoxycholic acid which breaks down fat cells, and can potentially used for PAH.

I would go with liposuction as well.  It can be done awake if it is a localized area with minimal scarring and risk.

PAH is very rare, but the only non-surgical way to treat it that I know of would be with another fat melting device that uses heat instead of cold. There are many out there including Vanquish, but my personal experience with these devices are that they are rather limited in their ability to make a significant visible change. Otherwise, your only choice would be liposuction.Andrew Campbell, M.D.Quintessa Aesthetic Centers

The occurrence of Paradoxical Adipose Hyperplasia (PAH) after CoolSculpting is very very rare. The only treatment for it at this point is liposuction. If it is a true case of PAH and has been confirmed by Zeltiq (the company that makes the CoolSculpting device) then I have heard that they will cover the cost of liposuction for you. Hope this helps.