Fat freezing’s popularity as a fat reduction is ever increasing. Yet, some suffer from its little-known side effect known as “Paradoxical Adipose Hyperplasia”.
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SINGAPORE, November 2019 — Cryolipolysis, also known as Fat Freezing, is thriving as a non-invasive fat reduction treatment option in Singapore as with the rest of the world. It works by gently and efficiently targeting fat cells underneath the skin via targeted and controlled cooling technology. The fat cells are frozen and naturally metabolised by the body. It does this without affecting the skin itself. Its non-invasive nature is amongst its many benefits and the primary reason for its preference among those seeking to reduce body fat.
Additionally, the treatment can be performed on multiple parts of the body which increases its capacity.
Paradoxical Adipose Hyperplasia: Permanent Side Effects Of Fat Freezing Treatments
Cryolipolysis’ success is well-realised by many, but there are those who have encountered its side effect known as “Paradoxical Adipose Hyperplasia” (PAH). PAH is a side effect where hardened area of fat develops after cryolipolysis. Those affected will notice their treated areas getting larger and tender. PAH has also been observed to develop more commonly among male patients.
While the occurrence is rare, it is not uncommon. Unfortunately, PAH, once developed, is permanent and can only be treated with liposuction.
Dr. Ivan Puah, Medical Director of Amaris B. Clinic, who is licensed by the Ministry Of Health Singapore to perform liposuction procedures, shares his experience in treating patients affected by PAH.
“I was assessing a young lady who had fat freezing done on both arms, presented with disproportionately enlarged fat ‘lumps’ on both her treated areas soon after. The fat ‘lumps’ had grown in size over the past year, making her arms looked rather strange. It had affected her so much that she dared not wear any short-sleeved or sleeveless attire.
I still remember another patient who suffered from PAH who came with his father for consultation not too long ago. During the consultation, his father mentioned that he was distraught with guilt since his son developed this condition a few years ago, as he was the one that brought him for the fat freezing treatment. His son suffered from depression after that. He blamed himself ever since.”
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About Amaris B. Clinic & Dr Ivan Puah
Established in 2004, Amaris B. Clinic is a medical aesthetics, sculpting and fitness clinic in Singapore.
Led by Dr Ivan Puah, who is the clinic's Medical Director and accredited by the Ministry of Health to perform liposuction, Amaris B.'s forte lies in body sculpting - surgically removing stubborn fat pockets to sculpt and shape different areas of the body through various services offered.
Chairman of the Lipo Peer Review Committee in Singapore, Dr Puah obtained his Vaser liposuction (fundamental and hi-definition) training in Colorado and Argentina. He has also received training in syringe liposculpture, fat grafting and thread lift by renowned French plastic surgeon, Dr Pierre Francois Fournier, and dedicated surgical training in gynecomastia surgery in San Francisco. Dr Puah holds a Graduate Diploma in Family Dermatology from NUS, a Graduate Diploma in Acupuncture from TCMB, and a Graduate Diploma in Sports Medicine from LKCMedicine, NTU. He is the appointed trainer by Allergan and Merz for fellow doctors on cosmetic injectables such as neurotoxins and dermal fillers, as well as the designated trainer for PDO thread lift and Picolaser from Venusys Medical in Singapore.
Jalian, H. R., Avram, M. M., Garibyan, L., Mihm, M. C., & Anderson, R. R. (2014). Paradoxical Adipose Hyperplasia After Cryolipolysis. JAMA Dermatology, 150(3), 317–319. doi:10.1001/jamadermatol.2013.8071
Kelly, M. E., Rodríguez-Feliz, J., Torres, C., & Kelly, E. (2018). Treatment Of Paradoxical Adipose Hyperplasia Following Cryolipolysis: A Single-center Experience. Plastic And Reconstructive Surgery, 142(1), 17e-22e. doi: 10.1097/PRS.0000000000004523
At Amaris B. Clinic, we want you to know that it's always been about you. Deciding to embark on a journey toward skin, face, body treatment, or a fitness program is significant, and we are here to prioritise your results, well-being, and safety at every step.