Does CoolSculpting leave you lumpy?

Author: Prof. Coby Wolff  |  Last update: Friday, May 2, 2025

What is paradoxical adipose hyperplasia (PAH), and why does it sometimes happen after CoolSculpting? PAH occurs when fat in the treated area expands and hardens into an unnaturally-shaped lump in response to the extreme cold of CoolSculpting.

Does CoolSculpting cause lumps?

You can fix this with additional CoolSculpting sessions or liposuction. Paradoxical fat hyperplasia, or paradoxical adipose hyperplasia (PAH), is when the number of fat cells in the treatment area go up instead of down. It can cause a large, firm, and typically painless mass under the skin in the treatment area.

How long does CoolSculpting leave you lumpy?

This maybe the firmness you feel. Swelling will start to subside by 2 to 3 weeks leaving you with scar production and lumpiness. The remodeling of the fat injury begins at 2-3 months and the firmness will soften. ​While rare, “PAH” or paradoxical adipose hyperplasia can occur but not this early in the post-CS process.

Why does my stomach look bigger after CoolSculpting?

CoolSculpting is a non-invasive procedure that targets and reduces fat cells in specific body areas. In some cases, patients may experience temporary swelling or bloating in the treated area, which can give the appearance of a larger stomach.

What is the downside of CoolSculpting?

Common CoolSculpting Side Effects

Redness. Swelling. Potential bruising. Numbness and a loss of feeling at the site of treatment.

Where does the fat go after CoolSculpting? ❄️ FAQs with the Dallas CoolSculpting Experts

Does CoolSculpting leave saggy skin?

Laxity is typically seen after patients rapidly lose a large amount of weight. Since CoolSculpting® reduces fat gradually for a moderate change, it's unlikely to cause sagging skin or make loose skin look worse. The fat cells that are broken down after the treatment are expelled by the body over months of time.

What is the controversy with CoolSculpting?

What are the Problems with CoolSculpting? Other than PAH, there are other negative complications with CoolSculting™. Because the device kills fat tissue by freezing it, the nerves under the skin can also be frozen, causing long-term numbness or pain.

How long do you poop out fat after CoolSculpting?

Bowel Movements After CoolSculpting

You're most likely to notice changes in your bowel movements throughout the day. This is because your liver is busy processing those excess fat cells. Don't worry, this side effect tends to go away within a few days or a couple of weeks.

How often has CoolSculpting gone wrong?

It is a rare occurrence during CoolSculpting treatment cycles, estimated to happen in only 0.033% of treatments, which translates to approximately 1 in 3,000 cases. However, an investigation conducted by The New York Times suggests that the potential harm to patients could be significantly greater.

What happens if you don't massage after CoolSculpting?

Without massage, you may see less dramatic results. Slower results: Massage helps break down the frozen fat cells more quickly, accelerating their elimination from the body. Without it, the process may take longer.

How do you flush fat after CoolSculpting?

Ensure you stay hydrated during the period following the treatment. Staying hydrated will help you flush the fat cells out of your body faster. Don't get frustrated about the situation; it's a gradual process.

What is the stick of butter in CoolSculpting?

CoolSculpting causes the “stick of butter” effect.

Instead of gradually shrinking, the bulge after CoolSculpting gets bigger and usually becomes firmer than surrounding tissues, sometimes having a “stick of butter” appearance that resembles the shape of the CoolSculpting applicator.

Is there a lawsuit against CoolSculpting?

If you received a CoolSculpting treatment, and your negative side effects have not resolved, you may qualify for a lawsuit. The courts are currently sorting through a first wave of cases to determine which patients are most qualified and the ranges of awards.

Why do I weigh more after CoolSculpting?

As there are fewer fat cells in the area that was treated with CoolSculpting, it can be more difficult for that area to look as fat as before. However, if a patient experiences extreme weight gain, fat cells from other areas can spread to the treated area, leading to a return to the previous body shape.

Can fat dissolving cause lumps?

Possible side effects

Some people can bruise after the procedure. This will resolve on its own within a few days to weeks. A rarer complication is the development of nodules or lumps within the fat layer. These usually resolve by 6-8 weeks without the need for treatment.

Why didn't CoolSculpting work for me?

Common Reasons Why CoolSculpting Didn't Work:

Here are common reasons CoolSculpting might not meet expectations: Applicator issues. If the device wasn't placed optimally, the treatment might not target the right areas. Unrealistic expectations.

What are the bad experiences of CoolSculpting?

People who get PAH from CoolSculpting develop painless, firm masses of fat in the areas where they were treated between three and nine months after the procedure. In the case of Linda Evangelista, she developed masses on her chin, thighs and bra area. Dr.

What are the hard lumps after CoolSculpting?

The symptoms of paradoxical adipose hyperplasia can take from a few days to six months after treatment to develop. Early warning signs include: Hard lumps on the treated area. A thicker feel and look to the treated area.

What's better than CoolSculpting?

Both CryoSlimming and CoolSculpting are effective ways of reducing fat on the body, however, people find CryoSlimming to be more comfortable, less expensive, less aggressive and with no downtime compared to CoolSculpting.

Do you pee out fat after CoolSculpting?

As it filters dead fat cells — as well as other waste — it separates them from the blood. This waste is known as urea, which is essentially the main compound of urine. Therefore, the dead, targeted fat cells in CoolSculpting are eventually expelled by your body in urine.

How to speed up CoolSculpting results?

Six Ways to Maximize Your CoolSculpting® Treatment Results
  1. Commit to or maintain an active lifestyle. We know, all your life, people have recommended that you exercise and live an active lifestyle. ...
  2. Stay hydrated. ...
  3. Eat a healthy diet. ...
  4. Get enough sleep. ...
  5. Massage may help. ...
  6. Consider wearing compression garments.

Why no caffeine after fat freezing?

This is because caffeine and alcohol dehydrate the body, causing inflammation and bloating—making it hard to see full CoolSculpting results. Make a note during your CoolSculpting aftercare to avoid drinking these substances in excess to avoid any of these issues.

What do doctors think of CoolSculpting?

While CoolSculpting is generally considered safe, patients who are interested in body contouring may want to consider more proven methods. There are currently many technologies and energy-based devices that are being marketed to improve body contour and reduce unwanted fat.

What is the stick of butter effect in CoolSculpting?

The term “stick of butter side effects” refers to the shape the affected tissue takes, which reflects the shape of the CoolSculpting applicator.

How much does CoolSculpting actually cost?

Stomach: The stomach is a common target for CoolSculpting. On average, treating the stomach area can cost between $2,000 and $4,000 per session. Arms: To treat both arms, the cost generally ranges from $1,500 to $3,500. Thighs: Thighs, like the stomach, can be on the higher end, costing between $2,000 to $4,000.

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