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Since the FDA approved CoolSculpting for unwanted fat removal, a few patients experienced a gradual enlargement of the treated area.

This condition is called Paradoxical Hyperplasia (PAH). If you’re one of the few individuals suffering from PAH, please contact our plastic surgery clinic for treatment options.

What is Paradoxical Hyperplasia?

Paradoxical Adipose Hyperplasia (PAH) is an extremely rare complication affecting only 0.0051% of the 1.5 million+ individuals who have had CoolSculpting procedures.

CoolSculpting is a non-invasive cryolipolysis procedure that uses cooling methods to damage and eliminate subcutaneous fat tissues without damaging the skin. This process removes unwanted fat from targeted areas. However, CoolSculpting sometimes has an adverse effect, expanding rather than eliminating the fat cells. Patients usually report the initial signs of PAH approximately 6 months after the treatment.

What are the Benefits of CoolSculpting?

  • CoolSculpting is the ideal treatment for targeted fat removal.
  • Non-surgical and non-invasive.
  • You don’t have to worry about scarring.
  • No downtime or extended recovery periods. You can resume most activities immediately.
  • The procedures are painless and comfortable, causing minimal discomfort.
  • You’ll see results within a few weeks.
  • Most importantly, CoolSculpting pays for the treatment for PAH. As such, you may be reimbursed for the treatment.
Paradoxical Hyperplasia

Why Choose the LITTLE Lipo for Paradoxical Hyperplasia Treatment?

At LITTLE Lipo, our goal is to help you achieve the ideal body, removing all unwanted fat cells, including those you may have as a result of a previous CoolSculpting procedure. Dr. Reps Sundin and Dr. Burton Sundin will examine your condition carefully and recommend the ideal treatment plans to rectify PAH. For more information, please schedule a consultation with our board-certified plastic surgeons today.

COVID-19 Update: We’re Open! View Update Virtual Consultation

COVID-19 Update: We’re Open!

We are now open and taking appointments! We are offering re-opening specials which can be pre-purchased should you desire to schedule later.

In response to the current COVID-19 crisis, our office is working diligently to keep our patients and staff safe by following the guidelines recommended by CMS, the CDC, and hospitals. We will be asking patients to remain in their vehicle while waiting for their appointment. Appointment times will be spaced to allow distancing. We are asking patients to wear a mask during their visit whenever possible. Please continue to stay safe and healthy. We are looking forward to seeing you.

Virtual Consultation Still Available

Dr. Sundin will continue offering virtual consultations! Click here to get started, or send us a request by email. You may also call to request a virtual consult. We can arrange an appointment time to speak by Phone, Skype, Facetime, or Zoom.

We can be reached in Richmond at 804-290-0909, email [email protected] or Tysons Corner 703-740-8333, email [email protected]

Answering Service: 804-257-5089


Reps Sundin, MD & Burton M. Sundin, MD

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