CoolSculpting Hyperplasia

Hyperplasia (PAH)

Paradoxical adipose hyperplasia (PAH) is a known rare, moderate to severe side effect associated with cryolipolysis or CoolSculpting. PAH has been described as “a delayed increase in adipose tissue at the treatment site” and “a gradual enlargement of the treated area … a well-defined subcutaneous mass, which is slightly painful on palpation”.

Sebastiaan explains hyperplasia and how common it is in the video below to Maaike of Furrow.

Hyperplasia by cryolipolysis

Recent studies show that the risk of incidents with CoolSculpting devices is very low, ranging from 0.05% to 0.39%. This means less than one incident occurs for every 3,000 uses of the device. With the advent of newer CoolSculpting devices, the number of incidents at each site has been reduced by more than 75%.

As for those who suffered from an unusual increase in adipose tissue after treatment, it appears that 55% of them were male and nearly 78% were of European origin. Most of these cases (nearly 77%) were related to the use of older CoolSculpting devices.

Although we do not yet have scientific studies to confirm this, we find at our CoolSculpting Clinic that with the newest machine, the CoolSculpting Elite, after more than 10,000 treatments, we have not seen a single case of unusual increase in adipose tissue. The improved treatment head and a more even distribution of cold could help to reduce stress on the treated area, but this needs further investigation.

Insurance CoolSculpting Kliniek

CoolSculpting Kliniek has a unique insurance policy/guarantee. In fact, should our treatment result in hyperplasia (PAH), we will ensure that this affected tissue is removed via liposuction at no cost.

CoolSculpting Kliniek has a standard procedure for when we suspect that the treatment has developed hyperplasia. First, we have a doctor determine if it is hyperplasia. Second, the regulation comes into effect with insurance. We will arrange the liposuction for you and our insurance will reimburse the full liposuction to remove the area affected by hyperplasia.

Nikolis, A., & Enright, K. M. (2020). A Multicenter Evaluation of Paradoxical Adipose Hyperplasia Following Cryolipolysis for Fat Reduction and Body Contouring: A Review of 8658 Cycles in 2114 Patients. Aesthetic Surgery Journal. https://doi.org/10.1093/asj/sjaa310

The benefits of CoolSculpting