Paradoxical adipose hyperplasia (PAH) is a rare but documented adverse effect of cryolipolysis with CoolScupting, a non-surgical method to remove fat. Cryolipolysis is more commonly known as CoolSculpting, a cosmetic procedure that destroys fat cells by cooling them to a specific temperature. PAH occurs when the cooling effect of cryolipolysis causes the fat cells to expand instead of breaking down, resulting in an increase in the size of the underlying fat. PAH typically appears within one to three months following the procedure and may take up to six to nine months to fully develop. PAH can occur in anyone who undergoes cryolipolysis, but it is more commonly reported in men and individuals with darker skin types. The condition can cause significant emotional distress and is a challenging problem to treat. Currently, the only way to solve PAH is through liposuction. Dr. Cameron Rokhsar is a world expert in liposuction and has performed liposuction procedures for years in all body areas including the belly, love handles, arms, inner thighs, outer thighs, back, and neck fat. While PAH is a potential risk associated with cryolipolysis, it is a rare complication. The overall rate of PAH is low, with less than 1 percent of patients experiencing the condition. Nonetheless, it is crucial for patients considering cryolipolysis to be aware of the potential risks associated with the procedure, including PAH.