Las Vegas – At the recent Cosmetic Bootcamp (CBC) meeting for extenders in core cosmetic disciplines, Susan Van Dyke, M.D., addressed a very rare side effect of cryolipolysis: paradoxical adipose hyperplasia (PAH).
She first learned of this side effect in Brazil, where a high-profile plastic surgeon was all but ready to leave the country because a Brazilian soap opera star he had treated developed PAH.
Dr. Van Dyke said that in the thousands of patients she has treated with cryolipolysis, “I’ve never heard of that. But it exists. We don’t know the incidence of it. One survey said 0.0051%, but many people will say it’s probably higher.” The hyperplastic adipose tissue appears to be normal fat, she said. And MRI shows that it seems to occur around the periphery of where an applicator was placed. “The treatment for it is liposuction.” Dr. Van Dyke is a Paradise Valley, Arizona-based dermatologist.
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