Paradoxical Adipose Hyperplasia (PAH) after CoolSculpting has been thought to be a rare but deforming complication. PAH leads to uneven, larger, and firmer areas of fat, and this complication appears to occur more often than earlier reported.
It may have a propensity to develop in patients who have even a slight weight gain after their cryolipolysis (Coolsculpting) procedures. Patients report an exaggerated fat growth in the Coolsculpting treated regions that are not in proportion to the fat growth in the untreated areas.
Unfortunately, this side-effect can cause deformities that are much worse than the original contour of the patients before undergoing Coolsculpting treatments. PAH can be treated with awake liposuction.
The Virginia Institute of Plastic Surgery, led by board certified plastic surgeons Dr. Burton M. Sundin and Dr. Reps B. Sundin, provides CoolSculpting to patients in Richmond, Fredericksburg, Tysons Corner, Northern Virginia, Washington DC, and surrounding communities.
What is Awake Liposuction?
Awake liposuction is a sought-after approach to body contouring cosmetic surgery in the United States. This liposuction procedure involves less invasive techniques that can be undertaken without the requirement for general anesthesia, unlike traditional liposuction.
A combination of local anesthetic and sedatives helps the patient remain entirely comfortable and conscious during the proceedings. Awake liposuction mitigates the risk of surgery and involves minimal downtime.
The very reliable and minimally invasive ultrasound technology for precision body contouring forms the basis of the Vaserlipo system. A single Vaserlipo treatment will develop aesthetically appealing body contours in a fast and easy manner.
The treatment is meant to reduce undesirable fatty tissue pockets from various body areas, ranging from the thighs to love handles.
Vaserlipo is known as a customizable body contouring procedure as the treatments can be individualized to meet the patient’s unique needs. It eliminates stubborn fat pockets as well as smoothes the superficial skin surface to create more complete outcomes.
The ultrasound waves will target the fatty tissue sites selectively and disintegrate the fat while causing no damage to the surrounding healthy tissue.
The procedure can be used on both large sites with significant fat tissue as well as delicate regions such as the neck and arms. Vaserlipo is clinically proven to develop even and natural looking outcomes in treated sites.
The muscles can be contoured and accentuated with this procedure, which does not involve general anesthesia and has minimal downtime.
Candidates who do not want to undergo traditional liposuction cosmetic surgery may also consider the minimally invasive body contouring alternative of SmartLipo.
This laser-assisted lipolysis procedure will permanently destroy undesirable fat deposits from common trouble areas such as the thighs, abdomen, arms, neck, and buttocks. This procedure offers superior and natural looking cosmetic results with less discomfort and minimal downtime.
Only local anesthesia is used to numb the targeted body areas in SmartLipo, and the patient remains awake during the procedure. The surgeon will insert the laser fiber using a narrow tube into the impacted fatty tissue area.
The laser energy will go into the deeper layers to destroy the fat cell membranes, which eventually causes the permanent annihilation of the fat cells. The liquefied fat is then delicately suctioned out to reveal sleeker contours.
Various laser wavelengths are developed to disrupt targeted fat, coagulate blood vessels, and encourage the production of new collagen. This not only destroys fat but also helps firm up the skin and reduce laxity. The patient will experience minimal downtime and accomplish the desired outcomes with minimal scarring.
Plastic surgeons at the Virginia Institute of Plastic Surgery receive patients from Richmond, Fredericksburg, Tysons Corner, Northern Virginia, Washington DC, and nearby areas for CoolSculpting.
For more information on the surgical and non-surgical procedures and treatments by Board Certified Cosmetic Plastic Surgeons Dr. Reps Sundin and Dr. Burton Sundin please visit
Serving Richmond, Henrico VA, Fredricksburg, Williamsburg, Northern Virginia, Washington DC, Vienna, McLean, Fairfax, Loudoun County, Ashburn, Tysons Corner, Reston, Arlington and surrounding communities.