Linda Evangelista's Battle with Paradoxical Adipose Hyperplasia: What You Need to Know

In a candid Instagram post on September 22, Linda Evangelista, an iconic supermodel from the 1990s, disclosed her struggle with a rare side effect of CoolSculpting, revealing that she feels “unrecognizable” and has been left “permanently deformed” despite undergoing two painful corrective surgeries that did not yield the desired results. She explained, “To my followers curious about my absence while my peers have flourished, the truth is I was brutally disfigured by Zeltiq’s CoolSculpting procedure, which did the opposite of what it promised.”

In her lawsuit against the company, Evangelista detailed how, months after receiving treatments on her abdomen, back, and other areas, she developed painful, hard masses beneath her skin. She was diagnosed with Paradoxical Adipose Hyperplasia (PAH) in June 2016.

Although over 8 million people in the U.S. had undergone CoolSculpting by 2019, many remain unfamiliar with the procedure’s mechanics or the potential adverse effects, as highlighted in Evangelista’s case.

Understanding CoolSculpting

CoolSculpting, or cryolipolysis, uses cold temperatures to target and break down fat cells. Each session lasts about an hour, and results are usually visible within three months as the body eliminates the frozen fat cells through the liver. A study in 2009 indicated significant fat reduction within two months and up to 25 percent fat loss after six months. It is essential to note that this procedure is not intended for weight loss but rather for eliminating stubborn fat deposits in individuals at their ideal weight, according to Dr. Paul M. Friedman, a dermatologist in Houston.

CoolSculpting is FDA-approved, non-invasive, and non-surgical, with costs ranging from $600 to $3,000. However, complications can arise.

When CoolSculpting Goes Awry

After undergoing CoolSculpting, patients may experience immediate side effects such as redness, bruising, and numbness. More rare complications can include hernias, dizziness, and even late-onset pain. Evangelista’s experience with PAH is particularly concerning; this condition leads to a noticeable increase in tissue volume in the treated area, often requiring surgical intervention for correction.

Zeltiq, the company behind CoolSculpting, has reported that PAH occurs in about one in every 4,000 treatments, though some studies suggest the risk might be closer to one in 666 patients. In her lawsuit, Evangelista claims she was not properly informed about these risks, stating that PAH has devastated her career and mental well-being.

Dr. Troy Pittman, a board-certified plastic surgeon in Washington, D.C., has observed PAH cases in his practice and warns potential patients that just because a treatment is labeled “non-invasive,” it doesn’t mean it is free of risks. He cautions, “If it seems too good to be true, it often is.”

Evangelista expressed her frustration and sadness in her post, saying she longs to walk out feeling confident, despite not recognizing herself anymore. She hopes her openness about her struggles can inspire others and bring awareness to the potential pitfalls of cosmetic procedures.

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In summary, Linda Evangelista’s experience sheds light on the potential dangers of cosmetic procedures like CoolSculpting, emphasizing the need for thorough research and awareness of risks. Her story not only highlights the physical consequences of such treatments but also underscores the emotional toll they can take on individuals.