Is PAH from CoolSculpting hard?

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.


What does PAH from CoolSculpting feel like?

Symptoms of PAH include:

Bulging or swelling of the area. New fat in the area of treatment that does not go away with further treatment, diet, or exercise. Fat deposits that are mobile and firmer than the surrounding body tissue. Tenderness in the affected area.

How do I know if I have PAH from CoolSculpting?

Known symptoms of PAH

PAH causes the treated area to get bigger and firmer than the surrounding areas, having a “stick of butter” appearance similar to the shape of the CoolSculpting applicator. Other signs of this CoolSculpting complication include: Uneven fat distribution.


What does paradoxical adipose hyperplasia feel like?

The symptoms of paradoxical adipose hyperplasia may appear a few days to weeks after cryolipolysis. The treated area feels thicker and firmer. A mass or swelling may be felt under the skin and is often slightly painful to touch.

How long does it take for PAH to develop?

PAH generally occurs long after cryolipolysis, often 2 to 3 months later, after an initial transient improvement; this was confirmed in our case series.


How Common Is PAH With CoolSculpting? Dr. Sean Doherty Talks About This Rare Side Effect!



How common is PAH after CoolSculpting?

Based on manufacturer data, PAH has been estimated to occur in 1 out of every 4,000 CoolSculpting treatment cycles, which is an incidence rate of 0.025 percent.

Should I worry about mild PAH?

Pulmonary hypertension usually gets worse over time. Left untreated, it may cause heart failure, which can be fatal, so it's important treatment is started as soon as possible. If another condition is causing pulmonary hypertension, the underlying condition should be treated first.

Who is more prone to paradoxical adipose hyperplasia?

In conclusion, paradoxical adipose hyperplasia is a rare delayed adverse effect following cryolipolysis. The risk of PAH is approximately 1 in 20 000 and apparently higher in males.


Why do I feel fatter after CoolSculpting?

Water Retention After CoolSculpting®

One of the first things that many patients experience is bloating or swelling in the treated area, particularly common in the abdominal region. This bloating is the result of water retention and is completely normal.

How common is paradoxical hyperplasia?

Paradoxical adipose hyperplasia is a rare, previously unreported side effect of cryolipolysis with an incidence of 0.0051%.

How do you fix PAH from CoolSculpting?

Treating PAH is difficult and often only partially successful due to hardening and difficulty in removing the stimulated fat cells. This usually involves body liposuction using ultrasound-assisted (VASER®) or laser-assisted (SmartLipo®) devices.


Can PAH from CoolSculpting be reversed?

Those who have developed PAH can have it corrected. Smartlipo is a great option to correct the effects of PAH. Smartlipo is a laser-assisted liposuction procedure, known as laser lipolysis.

How do you prevent PAH after CoolSculpting?

Paradoxical Adipocyte Hyperplasia (PAH) is a very rare side effect of CoolSculpting and is treatable in the rare case it does happen. Good exercise and diet can help enhance and prolong the results of your CoolSculpting treatments, along with additional CoolSculpting treatments.

Is PAH from CoolSculpting painful?

Nearly everyone who has experienced PAH share that the affected area may be painful or sore to touch. "This leaves patients with a treatment area that gets fatter rather than skinnier," he adds. It may be that PAH is more common with larger CoolSculpting applicators and older devices, but Dr.


Does PAH ever go away?

There is no cure for pulmonary hypertension. The goal of treatment is to control symptoms and prevent more lung damage. It is important to treat medical disorders that cause pulmonary hypertension, such as obstructive sleep apnea, lung conditions, and heart valve problems.

Can people with PAH workout?

Exercise is becoming an important adjunct therapy for patients with pulmonary hypertension. Get moving!

Why is my stomach hard after CoolSculpting?

Usually, this is exactly what happens. In a small number of cases, however, the fat in the treated area expands and hardens into an unnaturally shaped lump in response to the extreme cold. This is called paradoxical (abnormal) adipose (fat) hyperplasia (unusual increase in a structure), or PAH for short.


What happens if you do too much CoolSculpting?

If you have too many sessions, you might lose enough fat that additional treatments won't do much good. It's also possible to have so much Coolsculpting that the treated area ends up looking concave or indented.

What is the downside of CoolSculpting?

Patients who undergo CoolSculpting report bruising in the area, swelling and redness, pain and stinging throughout the course of treatment, aching, skin sensitivity, and more. These side effects can last for up to two weeks after a treatment session, interfering with your daily quality of life.

Can exercise get rid of paradoxical adipose hyperplasia?

While PAH cannot be treated with diet or exercise, there are ways to address this rare condition. Board-certified plastic surgeon Dr. Jaime Schwartz educates patients about this side effect of CoolSculpting in Beverly Hills, CA.


How often does CoolSculpting gone wrong?

According to published scientific research, paradoxical adipose hyperplasia has been estimated to occur in one out of every 4,000 treatments, for an incidence of 0.025 percent globally. “I've done hundreds of CoolSculpting procedures in the past eight or nine years, and I've never had an incidence of PAH,” says Henry.

What stimulates fat breakdown in adipose tissue?

During exercise, triacylglycerols, an energy reservoir in adipose tissue, are hydrolyzed to free fatty acids (FAs) which are then released to the circulation, providing a fuel for working muscles. Thus, regular physical activity leads to a reduction of adipose tissue mass and improves metabolism.

How do I lower my PAH pressure?

Treatments for pulmonary arterial hypertension
  1. anticoagulant medicines – such as warfarin to help prevent blood clots.
  2. diuretics (water tablets) – to remove excess fluid from the body caused by heart failure.
  3. oxygen treatment – this involves inhaling air that contains a higher concentration of oxygen than normal.


Is coughing a symptom of PAH?

It involves the spaces and tissues in the lining of the lungs with abnormal increases in these tissues. Major symptoms may include shortness of breath on exertion, coughing and loss of appetite.

What is mild PAH?

Pulmonary hypertension is a type of high blood pressure that affects the arteries in the lungs and the right side of the heart. In one form of pulmonary hypertension, called pulmonary arterial hypertension (PAH), blood vessels in the lungs are narrowed, blocked or destroyed.