The incidence rate of PAH after CoolSculpting varies, with reported rates ranging from 0.0036% to 2%. The manufacturer of the CoolSculpting device reports a rate of 0.025%, based on post-market consumer data. While PAH is rare, it is always essential to weigh the risks of any cosmetic procedure you undergo. If you are considering CoolSculpting or have concerns about PAH after undergoing the procedure, we recommend consulting with Dr. Cameron Rokhsar, a double-board-certified dermatologist and cosmetic surgeon who specializes in the treatment to discuss your options.