CoolSculpting Undercounted Patient Deformities Caused By Its Fat-Zapping Device: NYT

The use of a medical device that promises to painlessly melt away fat cells poses a much higher risk of disfigurement than previously reported, according to. Allergan Aesthetics, the company that now owns the device, CoolSculpting, reports that a side effect called paradoxical adipose hyperplasia is rare, affecting about 1 in 3,000 patients.

The condition “is likely being underreported and misdiagnosed,” and often requires expensive surgery to correct, according to a 2020 study. “The hardest part is seeing photos of myself, so I barely take any now,” said a data analyst named Kathryn Black who was diagnosed with P.A.H. last year. “When I see one, I think, ‘That’s not me.’” Model Linda Evangelista famously alleged that CoolSculpting and P.A.H. left her permanently disfigured; she settled a lawsuit against the company in 2022.

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A Beauty Treatment Promised to Zap Fat. For Some, It Brought Disfigurement.More than a dozen years ago, a medical device hit the market with a tantalizing promise: It could freeze away stubborn pockets of fat quickly, painlessly and without surgery. The device, called CoolSculpting, was entering an already-crowded beauty industry selling flatter stomachs and tauter jawlines, but it had an advantage: a vaunted scientific pedigree. The research behind its development came from a lab at Harvard Medical School’s primary teaching hospital, a detail noted routinely in news f Eat right and workout. I heard about Coolsculpting a year or two ago. I wondered how long it would be before people would start complaining about side effects.
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