Does it sound too wonderful to be true?

July 27, 2021
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Consider a fast, noninvasive treatment that might decrease persistent fat deposits. It is essentially painless, is said to be safe, and has no downtime. Does it sound too wonderful to be true?
coolsculpting is an abbreviation for cryolipolysis. The FDA-approved technique, also known as fat freezing or CoolSculpting, employs a wand-like device to break down fat cells using low temperatures over the course of 40–60 minute sessions. People begin to observe improvements just a few weeks later, with the region shrinking by around 25% six months following the surgery. Reliable Source.

However, a very tiny percentage of individuals suffer the inverse effect: the regions targeted by cryolipolysis actually become bigger and harder. Furthermore, new study suggests that the problem, known as paradoxical adipose hyperplasia (PAH), may be more frequent than previously assumed.

What are the dangers?

Researchers observed that PAH occurs in roughly 1 out of every 138 cryolipolysis treatments in a report published in the most current issue of the medical journal Plastic and Reconstructive Surgery. According to the researchers, this percentage is significantly greater than the manufacturer’s prediction of one out of every 4,000 treatments.

Both the research and the manufacturer calculated PAH rates based on a treatment cycle, which is defined as the application of cryolipolysis on a single body part. However, because patients often have many areas on their body treated at once, those figures don’t show the likelihood of this problem on a per-patient basis.

“According to [the way the company and researchers assess the rate of occurrence], if a patient who had six areas treated develops PAH in one spot, that’s 1/6,” he added. “However, what people truly worry about is that the patient has a big swelling – they don’t care if it’s only one of six spots. They should utilize the number of patients with PAH as the denominator rather than the number of cycles.”According to Kaplan, even if the new data shows a 0.72 percent per-treatment incidence of PAH, the actual risk per patient is certainly greater. According to a spokesman from Allergan, the maker of CoolSculpting technology, the firm has no way of knowing how many patients are impacted by PAH.

“We agree with [Kaplan] that reporting by patient would be ideal or more useful, but the data does not exist in our data,” said Brad Hauser, vice president of research and development at Allergan and general manager of CoolSculpting.
The chance of PAH forming at a cryolipolysis location is still extremely low, at less than 1%. Doctors are still trying to figure out what exactly causes this problem.

Who is prone to PAH?

Dr. nahal Kelly, a board-certified plastic surgeon at coolsculpting dubai, remarked, “No one truly knows why PAH occurs.” “Something is causing fat cells to develop, and I believe it is the cold that is causing inflammation. Most patients will see their fat cells shrink, while a tiny percentage will see their fat cells expand in reaction to the cold.”

The great news is that PAH may be treated with liposuction after a few months, and the cryolipolysis equipment maker generally covers the cost, according to Kelly. Patients are “initially upset” by the delay and the necessity to have cosmetic surgery they didn’t want, according to the research, so doctors must explain the treatment choices with utmost compassion.
“You must be really sensitive. These patients were undergoing cryolipolysis in order to prevent having to undergo surgery in the first place. You’re now informing people that they require surgery. “This is a difficult conversation,” Kaplan added.

The medical community considers cryolipolysis to be a safe treatment in general. If you’re considering it, consult with a dermatologist or cosmetic surgeon to see if you’re a good candidate. The most important thing to remember is that it’s designed to lower the amount of fat cells in a certain region and modify its structure, not to aid weight loss.
“The efficacy of the surgery is also dependent on the flexibility of your skin, so you will shrink down when the fat is removed,” Kelly explained. “The best candidates are often persons of ordinary or somewhat higher weight who have good-quality skin and fat in a specific area they wish to modify the form of.”

It’s usually a good idea to discuss potential problems with your doctor if you’re planning a medical treatment. Kaplan has been motivated by the discoveries concerning PAH and CoolSculpting to conduct more in-depth talks with patients about their risk.
“I believe CoolSculpting is generally safe, which is why I continue to recommend it,” he added. “However, whereas in the past we might have just let the consent form speak for itself, now we are more aggressive in informing them about things that are still unusual but somewhat more likely to occur.” We invite you to browse our services and contact our clinic today to book an appointment.


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