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    Treatment of Paradoxical Hyperplasia Caused by CoolSculpting

    shutterstock 145581217 256x300 - Treatment of Paradoxical Hyperplasia Caused by CoolSculptingPatients considering a non-surgical fat reduction procedure with cryolipolysis are at risk for a complication which causes the development of a hardened area of localized fat after the treatment.

    This leaves patients with a bulge that will necessitate the very treatments they tried to avoid for removal.

    This complication is known as paradoxical adipose hyperplasia (PAH), and the rate of its incidence may be higher than one 4,000 treatment cycles, or 0.025 percent incidence, as stated by the manufacturer of the CoolSculpting device. Surgeons can effectively treat PAH with liposuction.

    The Virginia Institute of Plastic Surgery and the Modern Body Contouring & Laser Center, led by board certified plastic surgeons Dr. Burton M. Sundin and Dr. Reps B. Sundin, provide CoolSculpting to patients in Northern Virginia, Washington DC, Vienna, McLean, Loudoun, Ashburn, Tysons Corner, Reston, Arlington, Chevy Chase, Richmond, Fredericksburg, and surrounding communities.


    Treatable Body Sites

    Liposuction plastic surgery is not designed to be a weight-loss procedure. It aims to remove fatty deposits from specific body areas to improve the overall body contours. This procedure can be very effective in body areas such as the thighs, abdomen, hips, flanks, breasts, arms, and buttocks.



    Traditional Liposuction

    Traditional liposuction involves the surgeon placing a narrow tube (cannula), which is attached to a powerful suction pump. The surgeon will place a tiny incision and then insert the cannula through this incision to break down the fat and inject fluid into the treatment site.

    The plastic surgery procedure has certain associated risks. However, traditional liposuction can eliminate fat quite effectively and remains one of the most sought-after types of liposuction.  

    Tumescent Liposuction

    Traditional liposuction and tumescent liposuction are similar procedures. However, experts usually consider tumescent liposuction as a superior procedure due to its innovative medication use and reduced risks of complication development.

    In this procedure, the surgeon injects a special solution (a mixture of lidocaine, salt solution, and epinephrine) into the fat layer. The amount of fluid is typically three times the quantity of fat being removed.

    This solution causes the fat cells to swell, making it easier to isolate and remove them. Stemming from this, it shrinks the blood cells, and since it contains a local anesthetic, it decreases the discomfort of the patient without the risks related to general anesthesia.

    Tumescent liposuction has minimal risks which are related to the quantity of solution injected and the amount of lidocaine it contains.

    Ultrasonic or Laser Liposuction

    Ultrasound or laser-assisted liposuction uses a specialized cannula that delivers ultrasonic sound waves or laser beams into the fatty pockets. This action liquefies the fat cells enabling easier elimination.

    The use of ultrasound or laser technology allows the surgeon to eliminate larger and thicker fat pockets and tighten the surrounding skin at the same time.



    After the liposuction procedure, the patient will need to recover at home for the initial week. However, they should take gentle walks around their home and undertake light activities to improve blood flow. The surgeon may also prescribe pain drugs to the patient for the management of the initial pain and discomfort.

    The sutures and drains will be taken out in around one week or ten days following the procedure.

    At times, the procedure may involve placement of very tiny incisions (if only a small amount of fat elimination is necessary). The surgeon may choose to let the cuts remain open to minimize bruising and expedite the recovery. These incisions will seal naturally in a few days.

    Plastic surgeons at MBody and VIPS receive patients from Northern Virginia, Washington DC, Vienna, McLean, Loudoun, Ashburn, Tysons Corner, Reston, Arlington, Chevy Chase, Richmond, Fredericksburg, 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 at the Virginia Institute of Plastic Surgery and M Body Contouring and Laser Centerplease visit:

    Serving Northern Virginia, Washington DC, Vienna, McLean, Fairfax, Loudoun County, Ashburn, Tysons Corner, Reston, Arlington, Fredricksburg, Chevy Chase, Potomac, Maryland Richmond, VA and surrounding communities.

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