Paradoxical Hyperplasia

You’re an informed consumer, so while you were researching and weighing the ins-and-outs of body-contouring techniques — both surgical and non-surgical — you ran across a curious term: Paradoxical hyperplasia. Paradoxical hyperplasia is a side effect that rarely occurs after a CoolSculpting® cryolipolysis treatment. 

The plastic surgeons and aesthetic experts at Gotham Plastic Surgery, conveniently located in midtown Manhattan, New York City, believe that informed clients are happy clients. Here is a  breakdown of what paradoxical hyperplasia is, whether you should worry about it or not, and what happens if it’s an unwanted outcome of your CoolSculpting treatment.Read More

coolsculpting body fat removal in new york

Coolsculpting before and after results in New York

Freeze the Fat With CoolSculpting

CoolSculpting has become one of the most popular non-surgical body contouring treatments in the world. By lowering the temperature of your fat cells, a CoolSculpting treatment essentially “freezes” them so that they can’t function or hold fat anymore. During the 3-6 months after your treatment, the frozen fat cells disintegrate, and your body processes them through your lymph system.

After a series of treatments (usually 2-3), your body reshapes itself to its new, sleek contours. You can lose several inches of fat with CoolSculpting, without the downtime and recovery of a surgical procedure, such as tumescent liposuction. CoolSculpting freezes away:

  • Tummy fat
  • Hip fat
  • Thigh fat
  • Arm fat
  • Chin fat
  • Waist fat

Women and men love CoolSculpting because they can lose the fat gradually (in other words, discreetly). CoolSculpting also has potential minimal side effects, but they tend to be minor, such as a day or two of swelling, pinkness, or tenderness on the treatment area. You should be able to return to your normal activities directly after your treatment. 

Here comes the paradox

The reason for the term “paradoxical hyperplasia” is that a CoolSculpting treatment is designed to eliminate fat so that you have a smaller circumference in the treatment areas. However, in very rare cases, the fat doesn’t break down. 

Instead, it conglomerates into a hard mass that actually makes the treatment area look bigger, not smaller. In fact, the treatment itself seems to trigger a paradoxical growth of fat cells in the area. This rare side effect usually appears about 6 months after treatment. Instead of a reduced circumference, patients notice an enlarged mass that’s in the shape of the CoolSculpting treatment paddles.

CoolSculpting-certified doctors and aestheticians have performed more than 650,000 cycles of CoolSculpting throughout the world. According to Zeltiq, who manufactures CoolSculpting, paradoxical hyperplasia only occurs in 1 out of 4,000 treatments. However, a recent, small study suggests that the incidence could be as high as 1 in every 138 treatments. To learn more about this study about CoolSculpting, visit

Because the side effect is rare, nobody’s quite sure yet if there are identifiable risk factors for paradoxical hyperplasia. For unknown reasons, the majority of paradoxical hyperplasia cases occur in men. 

How to get rid of paradoxical hyperplasia

Ironically, the fix for non-surgically induced paradoxical hyperplasia is surgical liposuction. The good news is, if you have paradoxical hyperplasia, Zeltiq pays to reverse your condition with liposuction. The bad news is you must wait several months after you developed paradoxical hyperplasia before undergoing liposuction.

At Gotham Plastic Surgery, we’re experts at contouring ideal body shapes with non-surgical and surgical techniques. After your corrective liposuction procedure, you’ll have the sleek curves you set out to get through CoolSculpting. In fact, patients who had to undergo corrective liposuction for their paradoxical hyperplasia were ultimately thrilled with their new figures.

Why Gotham Plastic Surgery?

Gotham Plastic Surgery is the only office in midtown to offer the time-saving Dual CoolSculpting. By using two different sets of CoolSculpting applicators, we cover twice the area in the same amount of time.

You also have the best chance of a happy CoolSculpting outcome when you’re treated by the highly trained experts at Gotham Plastic Surgery. We’ve been shaping bodies for decades with surgical liposuction and know how to make the changes that make you look your best. 

Philip Miller, MD FACS has undergone extensive training in CoolSculpting. Our office is certified by Zeltiq as an official CoolSculpting provider. Only our doctors and highly trained personnel perform CoolSculpting at Gotham Plastic Surgery, so you know you’re in good hands. You can look at our before and after photos to get an idea of the beautiful results you can expect.

Set up your body contouring appointment today

To set up your body-contouring consultation for CoolSculpting or liposuction, call our Manhattan office today at 646.791.3066 or book online.

Plastic Surgery from Head to Toe

At Gotham Plastic Surgery, we create custom treatment plans that combine minimally-invasive techniques and advanced technology to help patients achieve the best version of themselves. Our unique NatraFace™ approach addresses both restorative and transformative changes.

Gotham’s expert physicians perform advanced surgical and non-surgical procedures that smooth the skin around the eyes to give patients a refreshed look. Our custom NatraEye™ technique combines the use of chemical peels, lasers, eyelash enhancement, and injectables with precision procedures, including:

Our esteemed surgeons utilize the NatraNose™ technique to bring together innovative artistry and unparalleled skill to deliver results that look natural, improve nasal function, and help achieve each patient’s aesthetic goals.

Regardless of your aesthetic goals, Gotham has the skill and technique required for the breast procedure that suits you. Whether adding symmetry or restoring the breast following a mastectomy, Gotham provides patients with enhanced feminine contours and improved body proportions.

Patients from all over the world have undergone amazing body transformation at Gotham, enjoying slimmer bodies with satisfying contours. Our advanced physicians apply their skill and expert technique to precisely sculpt other areas of the body, including the cheeks, chin, buttocks, hips, love handles, knees, upper arms, thighs, and even the neck.

Known for our flawless techniques and a range of skincare options, Gotham Plastic Surgery has all the tools necessary for complete, natural, and comprehensive rejuvenation. As part of a customized treatment plan, these procedures can be performed standalone or in combination with surgical procedures for even more impressive results.

The male face ages differently than the female face, but men have similar goals of wanting to maintain their youthful appearance throughout their lives. A plastic surgeon must take the subtle differences between male and female skin, as well as what comprises the ideal look for their male patients.

No matter what your specific cosmetic concerns might be, Dr. Miller can help. At Gotham Plastic Surgery, we frequently perform the following for our male patients:

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The Plastic Surgery Podcast with Dr. Philip Miller

Tune into The Plastic Surgery Podcast, hosted by facial plastic surgeon Dr. Philip Miller. Dr. Miller is here to answer your questions, de-mystify plastic surgery, and help you feel more knowledgeable and empowered about any procedure performed at our center.

  • Episode 44: My First Time

    8 min
  • Episode 43: Top 10 Reasons Not To Get A Rhinoplasty ( Plastic Surgery)

    20 min
  • Episode 42 : Osteomas & Lipomas

    11 min
  • Episode 41: All Ears Considered!

    8 min
  • Episode 40: Infrared Light Therapy

    9 min
  • Episode 39: Beauty, the Plateau

    6 min
  • Episode 38: Botox and Dermal Fillers

    3 min
  • Episode 37: Cost of Rhinoplasty

    1 min
  • Episode 36: Different Types of Nasal Surgeries

    3 min
  • Episode 35: Do You Have to Break the Nose for Rhinoplasty?

    2 min
  • Episode 34: Do You Have to Stay Overnight After Having a Rhinoplasty?

    2 min
  • Episode 33: Don't Have a Rhinoplasty!

    2 min
  • Episode 32: Endonasal or External

    1 min
  • Episode 31: Are You a Candidate?

    2 min
  • Episode 31: Asian Nose Job

    3 min
  • Episode 30: In The Office

    17 min
  • Episode 29: Can My Nose be Made Smaller?

    4 min
  • Episode 28: Can't Breath Through Nose

    3 min
  • Episode 27: Chin Implants - Mentoplasty

    2 min
  • Episode 26: Columellar Struts

    23 sec
  • Episode 25: Common Terms

    5 min
  • Episode 24: Connection Between Facial Resurfacing and Tattooing

    5 min
  • Episode 23: The Sooner, The Better?

    4 min
View all Podcasts
Plastic Surgery w/ Dr. Miller

Plastic Surgery w/ Dr. Miller

If you're thinking about getting a lift, nip, or tuck, this app is for you. It's the most comprehensive pocket encyclopedia of plastic surgery terms, before and after photos, and visualization tools to help you really know what to expect from a procedure, including seeing potential results on your own photo. This app is only available on the App Store for iOS devices.

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