Dermatology, Weill Cornell Medical Center, New York Presbyterian Hospital, New York, NY.
Aesthet Surg J. 2019 Jul 12;39(8):NP334-NP342. doi: 10.1093/asj/sjy282.
Cryolipolysis is a fairly popular procedure performed in North America, Europe, and many other countries. Although it is considered a rather safe procedure, there are underreported side effects such as paradoxical adipose hyperplasia (PAH), contour irregularities, skin and soft tissue atrophy, and asymmetries. Our knowledge regarding the prevalence and treatment of such complications is limited.
We hereby report a case series of 5 patients treated for various complications of cryolipolysis, including PAH, that persisted for more than 12 months after their last treatment.
Five patients with various complications of cryolipolysis (4 patients with PAH and 1 with atrophy and indentations) presented in our private office between 2015 and 2018. Three of the 4 patients with PAH were treated at other facilities with ultrasonic liposuction, laser lipolysis, and radiofrequency skin tightening devices respectively. The fourth patient developed PAH after liposuction at another facility. The fifth patient developed several areas of indentations and atrophy and received mesotherapy and lymphatic massages at another facility. All 5 patients were subsequently treated in our office by means of a customized approach specific to their underlying complications.
Near-normal results were achieved in all 5 patients. None of our patients showed any recurrences of their initial complication for which they were treated. All 5 patients were extremely satisfied with their results.
Cryolipolysis, just like any other form of lipolysis, has certain specific adverse effects associated with it, including but not limited to PAH. Complications of cryolipolysis must be individually recognized and treated accordingly.
冷冻溶脂术在北美、欧洲和许多其他国家相当流行。尽管它被认为是一种相当安全的程序，但也有一些报告不充分的副作用，如反常脂肪增生（PAH）、轮廓不规则、皮肤和软组织萎缩以及不对称。我们对这些并发症的患病率和治疗方法的了解有限。
我们在此报告了一系列 5 例接受冷冻溶脂术各种并发症治疗的患者病例，包括 PAH，这些患者在最后一次治疗后超过 12 个月仍存在这些并发症。
2015 年至 2018 年间，5 名患有冷冻溶脂术各种并发症（4 例 PAH 和 1 例萎缩和凹陷）的患者在我们的私人诊所就诊。4 例 PAH 患者中有 3 例分别在其他机构接受了超声吸脂术、激光溶脂术和射频皮肤紧致设备治疗。第 4 例患者在另一家机构接受吸脂术后出现 PAH。第 5 例患者出现多个凹陷和萎缩区域，并在另一家机构接受了中胚层疗法和淋巴按摩。所有 5 例患者随后在我们的办公室接受了根据其潜在并发症定制的治疗。
所有 5 例患者均取得了接近正常的效果。我们的患者没有出现任何他们接受治疗的初始并发症的复发。所有 5 例患者对他们的结果都非常满意。
冷冻溶脂术与任何其他形式的脂肪溶解术一样，具有特定的不良反应，包括但不限于 PAH。必须个体化识别冷冻溶脂术的并发症并进行相应治疗。
