121 East 60th Street, Suite 8AB New York, NY 10022

Ph. (212) 285-1110

Long Island

901 Stewart Ave, Suite 240 Long Island, NY 11530

Ph. (516) 512-7616

New York City (212) 285-1110

Long Island (516) 512-7616

Fixing Paradoxical Adipose Hyperplasia (PAH) in New York

For some people, the shape of their body leaves them feeling uncomfortable and ashamed of their physical appearance. Dr. Cameron Rokhsar, our double board-certified dermatologist and laser and cosmetic surgeon, gives you the best advice on how to reshape your body into one that you love. In our Manhattan and Long Island offices, liposuction and CoolSculpting are two options available for body contouring and fat removal.

Liposuction Removes Fat

Internationally renowned Dr. Rokhsar explains that while a CoolSculpting treatment can help reduce fat, liposuction offers a better solution by removing stubborn fat, permanently. The weight loss and body shaping choice largely depends on your appearance goals.

Your weight reduction method and body shaping choice also depends on whether you prefer a non-surgical option like CoolSculpting or a surgical option like liposuction. While both provide permanent fat removal and body contouring, CoolSculpting offers much more subtle results as compared to liposuction.

Dr. Rokhsar talks about liposuction on Good Morning America.

NYC Liposuction Remains The Gold Standard

The American Society of Plastic Surgeons reports that liposuction remained in the top five cosmetic surgery procedures in 2020. According to the study, most patients choose either liposuction or CoolSculpting.

While CoolSculpting is a non surgical alternative to surgical fat reduction, it can only reduce localized pockets of fat by 10-20%. The reason is because localized subcutaneous fat is merely reduced by using fat freezing technology that destroys fat cells in the targeted areas. However, with liposuction, the surgeon is in full control of the treatment areas. Therefore, significant fat removal and body contouring can be achieved only through liposuction.

Dr. Rokhsar is among the first physicians in the United States to have offered CoolSculpting and has treated thousands of patients over the past 20 years with CoolSculpting. Although a majority of patients are very satisfied with their CoolSculpting results, a rare complication of CoolSculpting which has gotten a lot of press recently is paradoxical adipose hyperplasia (PAH).

What is PAH?

PAH is a complication of fat freezing, where fatty or adipose tissue increases in the treated areas of fat over time after CoolSculpting. This phenomenon is paradoxical because instead of the fatty areas decreasing in size as a result of CoolSculpting, the frozen fat cells actually become larger. Super-model, Linda Evangelista has recently made the claim that she suffered from this rare side effect of CoolSculpting, where her CoolSculpting treatment area grew in size instead of decreasing in size.

Linda Evangelista discusses the effects of CoolSculpting and PAH.

How is PAH Treated?

The treatment for paradoxical adipose hyperplasia (PAH) is liposuction. Dr. Rokhsar, an expert liposuction surgeon, treats many patients who have suffered from PAH, using liposuction. Dr. Rokhsar performs all his liposuction surgeries using the tumescent technique under local anesthesia where patients are awake.

This is the safest method of liposuction with minimal side effects and the fastest recovery. Compression garments are only worn for one week with this technique as opposed to the 4-6 weeks recommended with other techniques including liposuction under general anesthesia.

Liposuction Vs CoolSculpting

Ultimately, Dr. Rokhsar suggests that you consider not only the benefits but also the risks of liposuction and CoolSculpting. His recommendation to his patients always takes into consideration their long-term weight management, overall health, recovery expectations, and desired outcome.

Liposuction CoolSculpting


Requires surgery, using a cannula Non-invasive fat freezing technology


Performed under local anesthesia Cooling technology makes it virtually painless

Treatment Time

2-4 hours 35-45 minutes per attachment multiple attachments usually needed


Improved shape and contours are visible soon after surgery

Results are dramatic as Dr. Rokhsar suctions the fat out


A healthier body-shape reveals itself over time. Results may not be dramatic

Side Effects

Swelling, bruising, numbness. soreness Numbness, and minimal redness in and around the treatment area, some soreness

PAH- the development of fatty bulges in treatment areas (RARE)


2-5 days none


Results are permanent Results are permanent


Apparent immediately Appear 6-8 weeks later

Number of sessions

One (rarely requires touch ups) 1-2 sessions

*Results may vary.

Both treatment options come with potential risks and side effects. We discuss these options in detail with you when you consult with Dr. Rokhsar at his Manhattan or Long Island practice.

His core focus is patient care and safety. Dr. Rokhsar recommends the best body contouring treatment to meet your aesthetic dreams.

Consult With Dr. Rokhsar For Body Contouring Solutions

Book your appointment with Dr. Cameron Rokhsar. He is internationally recognized for his expertise and skilled technique in the art of body contouring for patients throughout the Manhattan, Long Island, and greater NYC area. His consistently beautiful results boost confidence in those who choose him as their provider for the best fat removal treatments.

New York Office Locations

Upper East Side Manhattan Office
121 East 60th Street, Suite 8AB New York, NY 10022
(212) 285-1110
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Long Island Office
901 Stewart Ave, Suite 240, Garden City, NY 11530
(516) 512-7616
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About author - Dr. Cameron Rokhsar

Dr. Cameron Rokhsar

Dr. Cameron Rokhsar is the founder and owner of New York Cosmetic Skin & Laser Surgery Center. With degrees from Harvard University and NYU, along with multiple publications and media features, the double board-certified dermatologist and laser surgeon proudly shares his expertise with patients in Garden City, Manhattan, and those who fly in to receive treatments at his offices. Dr. Rokhsar has worked extensively with Vbeam laser, Thermitight, Coolsculpting, and Fraxel laser technology, as well as Allergan and other injectable brands. He pioneered the Non-Surgical Nose Job and continues to be a leader in his field.

Learn more about Dr. Rokhsar | Dr. Rokhsar's Google Scholar