Treatment FAQ

what is paradoxical adipose hyperplasia at the treatment site

by Deanna Windler Published 2 years ago Updated 2 years ago
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4. Paradoxical adipose hyperplasia at the treatment site. A very rare but serious side effect of CoolSculpting is paradoxical adipose hyperplasia. It occurs most in men. This means the fat cells in the treatment site grow larger rather than smaller. It’s not fully understood why this occurs.

Paradoxical adipose hyperplasia is a rare complication of CoolSculpting that gets its name from the unexpected, paradoxical result: overgrowth (hyperplasia) of fatty (adipose) tissue. This complication, which can appear 8 to 24 weeks post-procedure, is when the treated area becomes hardened and visibly enlarged.Sep 8, 2020

Full Answer

What is paradoxical adipose hyperplasia?

Answering the Question of Paradoxical Adipose Hyperplasia. Now that you understand the benefits and risks of CoolSculpting, you also are wiser about paradoxical adipose hyperplasia. PAH is a very rare adverse side effect of CoolSculpting that impacts less than 1% of patients. It is unknown why PAH occurs, but there are treatment options available.

What is the best treatment for adipose hyperplasia (PAH)?

Paradoxical adipose hyperplasia is a rare complication of cryolipolysis that may occur more frequently than in the manufacturer's reported data. Treatment is best delayed until the affected area has softened, which normally occurs in 6 to 9 months after the initial cryolipolysis procedure.

What is middle middle and lower adipose hyperplasia?

Paradoxical Adipose Hyperplasia Treatment. Paradoxical Adipose Hyperplasia (PAH) is a rare phenomenon that may occur following cryolipolysis or CoolSculpting®. All cosmetic procedures, even non-invasive ones, carry a small risk of complications. The results of cryolipolysis are well documented to be very effective at spot-reducing fatty deposits and provide a safe alternative …

What is hyperplasia and what does it mean?

If you ever took part in Coolsculpting cryotherapy, you may have experienced the development of localized fat growth in the areas that were treated. This overgrowth of fat is called paradoxical adipose hyperplasia (PAH) – a condition that can be successfully treated at …

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How is paradoxical adipose hyperplasia treated?

Power-assisted liposuction is the preferred method of treatment, but in some cases, abdominoplasty may be necessary. Secondary treatments might be needed for recurrence or persistent bulge.

What does paradoxical adipose hyperplasia mean?

Paradoxical adipose hyperplasia is a rare, previously unreported adverse effect of cryolipolysis. Cryolipolysis uses cooling to damage and destroy subcutaneous fat cells, without damaging the skin to reduce the amount of fat in the treated area.

How do you get rid of paradoxical adipose hyperplasia without surgery?

Paradoxical adipose hyperplasia is a very challenging problem that can affect men and women who have been treated with Cryolipolysis. Cryolipolysis, better known as Coolsculpting, is a time-proven and effective way of reducing subcutaneous fat in the superficial layer without surgery and significant downtime.Mar 19, 2019

How do you know if you have paradoxical adipose hyperplasia?

Signs and Symptoms of Paradoxical Adipose Hyperplasia The affected area does not look fuller and fattier. Instead, the affected area looks irregular and raised. Instead of soft to the touch like ordinary fat, the fat that PAH impacts is firm.Oct 10, 2021

Can you get rid of paradoxical adipose hyperplasia?

Paradoxical adipose hyperplasia is not physically dangerous, but it will not go away without treatment. Typically, patients have to wait up to six to nine months for the fat in the affected area to soften enough to be removed safely using liposuction—otherwise, there is a risk that PAH could recur.Sep 8, 2020

Who gets paradoxical adipose hyperplasia?

Paradoxical adipose hyperplasia is a rare, previously unreported side effect of cryolipolysis with an incidence of 0.0051%. No single unifying risk factor has been identified. The phenomenon seems to be more common in male patients undergoing cryolipolysis. At this time there is no evidence of spontaneous resolution.

What is the condition called when you have adipose hyperplasia?

Since the FDA’s clearance of CoolSculpting, a non-invasive form of cryolipolysis, to get rid of unwanted fat, some patients have experienced a condition known as paradoxical adipose hyperplasia, or PAH. Find out what PAH is, why it occurs, how to prevent it, and what to do about it.

How does PAH work?

It occurs when the stimulus (the freezing of fat cells) activates a reactionary process in the fatty tissue that thickens and expands the fat cells rather than breaking them down and allowing the body to process and remove them .

How does cryolipolysis work?

Cryolipolysis uses cooling to damage and destroy subcutaneous fat cells, without damaging the skin to reduce the amount of fat in the treated area . This phenomenon of PAH has a reported rate of incidence of 0.0051% of the 1.5 million CoolSculpting procedures performed worldwide. Many physicians see numerous cases in their offices.

Who is Paul Cox?

Dr. Paul Cox MD, MS, is the Medical Director of WIFH. Board Certified in Family Medicine and a Fellow of the American Academy of Anti-Agency Medicine, Dr. Cox was one of the first physicians in Atlanta trained in Smartlipo and has been practicing as a physician for over 20 years. To date, Dr. Cox has successfully performed over 1,000 Smartlipo procedures.

What is smartlipo?

Smartlipo is a laser-assisted liposuction procedure, known as laser lipolysis. It is performed under local anesthesia using a laser to melt the fat while simultaneously tightening the skin. Once the fat is melted, suction is applied to manually remove the fat from the area.

How does Sculpsure work?

The hyperthermic nature of SculpSure uses heat to destroy fat cells, leaving you with up to 25% less fat after treatment. The contact cooling system keeps the surface of the skin cool while the heat treats the fat and surrounding tissue.

How long does it take to get rid of fat cells?

Non-invasive treatments like SculpSure or CoolSculpting do not provide immediate results because it relies on the body to process and filter out the damaged fat cells, which can take several weeks.

What does paradoxical mean?

Paradoxical means surprising, unexpected, or the opposite of what you would expect. Adipose is a medical term for fat. Hyperplasia means overgrowth. In other words, when we get fatter, we do not get more fat cells. However, the fat cells that we have become larger, or hyperplastic.

What is Coolsculpting?

Cryolipolysis, better known as Coolsculpting, is a time-proven and effective way of reducing subcutaneous fat in the superficial layer without surgery and significant downtime. This procedure is widely available and does not require a plastic surgeon or MD to perform it.

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