What is paradoxical adipose hyperplasia (PAH) in CoolSculpting?

Paradoxical Adipose Hyperplasia (PAH) is a rare but possible side effect of CoolSculpting. Here’s what you should know:

What is PAH?

• Uncommon Reaction: Instead of fat cells shrinking after CoolSculpting, they increase in size and harden.
• Localized Effect: Typically occurs in the treated area, creating a firm, raised, and visibly larger lump of fat.
• Delayed Onset: Usually noticed a few weeks to months after the procedure.

Why Does PAH Happen?

• Exact Cause Unknown: It's unclear why some people develop PAH, but it may be related to individual body reactions to the cold.
• Rare Occurrence: Affects a very small percentage of patients (around 0.05%–0.39%).

Symptoms of PAH:

• Firm and Enlarged Tissue: The treated area becomes noticeably bigger and firmer than before.
• No Pain: PAH is typically painless, but it can be distressing aesthetically.

Can PAH Be Treated?

• Reversible with Surgery: Treatments like liposuction or surgical removal can correct the affected area.
• Consultation Needed: If you suspect PAH, speak with your provider immediately for guidance.

Key Points:

• Rare but Possible: Most CoolSculpting patients won’t experience this side effect.
• Awareness is Important: Knowing the risks helps in making an informed decision.
• Consult Professionals: Choose a qualified provider and discuss potential risks beforehand.