Paradoxical Hyperplasia from CoolSculpting

Conveniently located to serve Beverly Hills,  Hollywood,  Los Angeles,  NYC, and  Miami.

Board-certified cosmetic dermatologist Dr. Jason Emer is an internationally acclaimed body sculptor who employs both non-invasive treatments and minimally invasive surgical procedures. He is highly regarded for his ability to transform botched procedure results into beautiful, aesthetic outcomes. His unique qualifications and experience have also earned him recognition as an expert in the treatment of paradoxical hyperplasia, a rare side effect of CoolSculpting.

Dr. Emer provides safe, effective treatment of paradoxical hyperplasia from CoolSculpting in Beverly Hills. Using advanced liposuction methods, Dr. Emer has helped numerous men and women resolve the unwanted effects they experienced after CoolSculpting, so they can finally achieve the body contours they desire.

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WHAT IS What Is Paradoxical Hyperplasia from CoolSculpting?

Paradoxical hyperplasia, or paradoxical adipose hyperplasia (PAH), is a condition that affects a small number of patients after undergoing CoolSculpting for non-surgical fat reduction. The onset of PAH typically occurs around six months after CoolSculpting treatments.

What Is CoolSculpting?

CoolSculpting is a non-invasive body contouring procedure intended to decrease the number of fat cells at the treatment site through a process called cryolipolysis. In the majority of cases, a cryolipolysis treatment with the CoolSculpting device works to slim the targeted area by freezing fat cells.

Exposure to the cold temperatures emitted by the CoolSculpting device irreparably damages fat cells. They can then be permanently eliminated from the body via natural processes over a period of three to six months.

CoolSculpting can reduce fat in many common problem areas, including the abdomen, flanks (love handles), inner thighs, and buttocks. The device is also frequently used to minimize the appearance of a full or “double” chin to create more elegant jaw and neckline contours.

While many men and women have lost unwanted fat and inches after a series of CoolSculpting sessions, patients who develop paradoxical adipose hyperplasia after CoolSculpting have a very different experience.

The Perplexing CoolSculpting Side Effect Known as Paradoxical Hyperplasia

The “paradox” of paradoxical hyperplasia after CoolSculpting is that, rather than decreasing body fat in the targeted area and creating slimmer, more aesthetic contours, cryolipolysis actually stimulates the growth of fat cells. As a result of the enlarged fat cells, patients affected by PAH will notice an increase in the circumference of the treated area.

In addition to abnormal overgrowth, or hyperplasia, the treated fat cells do not have the same characteristics as before CoolSculpting. Normally, body fat is soft to the touch. Adipose tissue impacted by paradoxical hyperplasia after CoolSculpting is much firmer and can leave patients with extreme asymmetry and irregular contours.

Right for you?

Am I a Candidate for Liposuction for Paradoxical Hyperplasia from CoolSculpting?

If you had a CoolSculpting procedure and later developed an irregular mass of fat in the treatment area, you may be a candidate for a corrective liposuction procedure. However, every patient affected by paradoxical hyperplasia after CoolSculpting is unique, so Dr. Emer will need to meet with you for a consultation in order to identify the best treatment approach for you.

Ideal candidates for liposuction for paradoxical hyperplasia after CoolSculpting must:

  • Be in good physical health – Patients who have been diagnosed with medical conditions that interfere with the body’s ability to heal and/or dramatically increase the risk of complications from cosmetic surgery are typically not good candidates for liposuction.
  • Be willing to adhere to Dr. Emer’s pre- and post-procedure instructions – Failing to follow necessary preparation and aftercare protocols can jeopardize your safety and/or the outcome of your liposuction procedure.
  • Be patient – Unfortunately, many patients must live with the effects of paradoxical hyperplasia for several months before undergoing a corrective liposuction procedure. Initially, the fat affected by PAH is too rigid to be treated with liposuction. Over time, the hard adipose tissue will gradually soften, but it can take six to nine months for fat cells to reach a consistency that is conducive to a successful liposuction procedure.
  • Be at a stable, healthy weight – Weight fluctuations can negatively impact the results of this procedure, creating a need for additional cosmetic treatments. Patients who are considerably overweight or obese are generally not good candidates for liposuction until they reach and maintain a body weight that is at or near what is ideal for their height.
  • Be realistic about what can be accomplished with the procedure – Dr. Emer will discuss the potential benefits and limitations of liposuction for PAH due to CoolSculpting with you during your initial consultation. To help you visualize the outcome of this procedure, he will also provide before-and-after photos of patients he has previously treated for paradoxical hyperplasia from CoolSculpting in Beverly Hills.

What Are the Symptoms of Paradoxical Adipose Hyperplasia Due to CoolSculpting?

PAH can cause adipose tissue to have hard knots, pronounced bulges, and an unmistakably unnatural shape. It is common for a hard mass of fat cells to form in a rectangular shape similar to a stick of butter and resembling the shape of the CoolSculpting device applicators.

PAH cases can involve mild to severe deformity as well as causing patients considerable distress. Instead of accomplishing an improved figure non-surgically through permanent fat removal with CoolSculpting, patients find they are even further from their desired body contours than they were before beginning cryolipolysis treatments. Patients have to contend with visibly misshapen contours in addition to their concerns about excess fat.

The highly irregular contours created by the enlarged, abnormal fat cells cannot be resolved with additional CoolSculpting sessions, nor can alternative non-invasive body shaping procedures provide a satisfying solution. Correcting paradoxical hyperplasia from CoolSculpting requires a specialized liposuction procedure, which may or may not need to be complemented with additional cosmetic treatments.

What Causes Paradoxical Hyperplasia after CoolSculpting?

Since the majority of CoolSculpting patients do not develop paradoxical hyperplasia, medical literature on the subject is limited. Statistically, paradoxical adipose hyperplasia after CoolSculpting is more common among male patients than among female patients. However, medical professionals have not arrived at a definitive determination regarding the cause of paradoxical hyperplasia or what makes certain patients vulnerable to this rare side effect.

Fortunately, despite all that is yet unknown about paradoxical hyperplasia from cryolipolysis, effective treatment is available now. Under Dr. Emer’s care, you can reclaim your body and enjoy the slimmer, shapelier contours that you expected to achieve with CoolSculpting.

What to Expect During Your Initial Consultation

During your consultation, Dr. Emer will learn about your treatment goals and review your medical history. He will also gather pertinent details about your CoolSculpting procedure and the onset of paradoxical hyperplasia as you experienced it. You will be encouraged to raise any questions you have about your treatment options for PAH and how you can best accomplish your body contouring goals.

Dr. Emer will perform a physical examination of the proposed treatment area(s) as part of your initial consultation, as well. In addition to evaluating the firmness of the abnormal fat cells at the treatment site(s) affected by paradoxical hyperplasia, he will also assess skin elasticity and laxity in the treatment area. This allows him to take appropriate measures to ensure that your skin appears smooth and tight after fat removal and the corresponding loss of volume.

Once Dr. Emer has determined the optimal treatment approach for you, he will review the details of your procedure with you. You will receive instructions on how to prepare for your corrective liposuction procedure, as well.

What to Expect During Liposuction for Paradoxical Hyperplasia from Cryolipolysis

First, Dr. Emer will mark the treatment site(s) as needed to create a visual map of the surgical plan he designed for you. Dr. Emer will answer any remaining questions you may have during this pre-op stage, as well.

To begin your liposuction procedure, you will be given medications to prevent you from feeling any discomfort. Once the anesthesia has taken effect, Dr. Emer will make discreet incisions, which serve as entry points for the liposuction cannula.

After preparing the unwanted fat for removal with water-assisted, power-assisted, ultrasound-assisted, or radiofrequency-assisted liposuction techniques, suction will be used to extract fat cells from the body through the inserted cannula.

To ensure an aesthetic outcome, Dr. Emer typically follows the removal of knotty and irregular fat cells with BodyTite or Renuvion for skin tightening. These devices facilitate internal delivery of controlled radiofrequency energy to heat the underlying skin structures, so the skin contracts smoothly and tightly around your new, trimmer contours.

What to Expect After Liposuction for Paradoxical Adipose Hyperplasia from CoolSculpting

Recovery from liposuction for PAH will involve a week or more of downtime. You will need to restrict your physical activities, as directed, for several weeks after your procedure. 

Your aftercare instructions will include recommendations for easing post-op discomfort, bruising, and swelling. Dr. Emer has found the following aftercare therapies to be highly beneficial for patients recovering from liposuction:

  • Compression garments
  • Lymphatic massage
  • IV therapy
  • Hyperbaric oxygen therapy (HBOT)
  • Shockwave/vibration therapy

Patients who complete the aftercare therapy regimen Dr. Emer designs for them can minimize discomfort, support expedient healing, and enhance their liposuction results.

What to Expect Regarding Your Treatment Results

Dr. Emer’s patients can benefit from a complete reversal of the unwanted effects of paradoxical hyperplasia from CoolSculpting after undergoing liposuction. In many cases, the improvements achieved with this corrective procedure exceed the patient’s original goals for CoolSculpting.

Liposuction physically removes fat cells from the body, so the results of this procedure can be permanent. However, the remaining adipose cells can grow larger to store additional fat if you gain weight. It is imperative that you commit to healthy eating, portion control, and regular exercise, so you can maintain your enhanced look long-term.

Because successful weight management requires that our internal systems are functioning properly, Dr. Emer encourages patients to see his hormone optimization expert and consider peptide therapy. Restoring hormonal balance and increasing the number of key peptides can assist with appetite regulation, muscle building, fat loss, improvements in mood, and many other aspects of weight management.



Lipo for Paradoxical Hyperplasia from CoolSculpting: How Dr. Emer Does It Differently

Dr. Emer blends a sophisticated artistic sense with advanced liposuction techniques to deliver unparalleled body contouring results. In order to best serve his diverse patient base, Dr. Emer has mastered multiple liposuction techniques and developed exclusive body sculpting treatments, such as his signature Supermodel liposuction and Gladiator liposuction procedures.

Many patients seeking treatment for PAH after CoolSculpting are ideal candidates for Dr. Emer’s Gladiator liposuction or Supermodel liposuction treatments. These elite fat removal and body sculpting procedures are intended for patients who have minor amounts of excess fat, such as those who would be considered CoolSculpting candidates.

Gladiator lipo and Supermodel lipo procedures can be extensively customized and involve extremely precise modifications to carve out unbelievable definition while eliminating stubborn fat. Dr. Emer’s Gladiator and Supermodel liposuction treatments have allowed many patients to turn their negative CoolSculpting outcome into a total body transformation that they absolutely love.

Whether your dream body is chiseled and Gladiator-esque, has the elegant and feminine lines and curves of a Supermodel, or has other distinct features, Dr. Emer is one of the very few providers with the skill, knowledgeability, and talent to simultaneously make your dream body a reality and your experience of PAH a distant memory.

How Much Does Treatment for Paradoxical Adipose Hyperplasia Cost?

The price of liposuction for PAH resulting from CoolSculpting is based on the extent of fat removal needed and the specific techniques required. The total procedure time and associated anesthesia fees will also impact the overall cost. You will be given detailed information regarding the cost of your procedure after Dr. Emer has created your personalized treatment plan.

Schedule a Consultation with Dr. Emer

The undesirable effects of paradoxical hyperplasia from cryolipolysis can have a devastating impact on your self-image and self-confidence. However, you can still make your desired body contours a reality by entrusting your care to Dr. Emer, a leading authority on cosmetic fat removal and top provider of liposuction for paradoxical hyperplasia from CoolSculpting in Beverly Hills.

Contact our office today to arrange a consultation with Dr. Emer, so you can leave PAH in your past and step into your future with a look you love.

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