Category Archives: SmartLipo MPX™ VASER® Liposuction

Coolsculpting Complications- Paradoxical Adipose Hyperplasia (PAL)

Coolsculpting is an FDA approved, established and non-invasive treatment for excess fat. Based on the principles of cryolipolysis, when fat is exposed to controlled cold temperatures of -5°C, a cell death and inflammatory response occurs (panniculitis) that results in the reduction of the layer of fat treated without harming the top layers of skin. Although the treatment has been proven effective and is often sold as an alternative to liposuction, most experts in fat removal agree that it is NOT a replacement for liposuction. Coolsculpting, although effective, is used only for limited fat reduction and spot treatment. It is not as effective as properly performed liposuction and it is also not without side effects. Most commonly, patients can often experience swelling, bruising, numbness or chronic pain in areas treated. Although many patients do respond with mild to moderate fat reduction, it is not always successful in contouring treatment areas given the ergonomics of the device and the lack of human interaction with the tissue. Also, patients often require several treatments to obtain a desirable result.

The most alarming side effect of cryolipolysis appears to be unique to the Coolsculpting procedure and has not been seen with other competing technologies such as Sculpsure, Liposonix, and Ultrashape which do not use cold to destroy fat cells. Paradoxical Adipose Hyperplasia (PAL) is a condition in which the fat cells actually overgrow instead of getting destroyed. The affected areas usually become firm and swollen anywhere from 2-6 months after treatment of the area. Although uncommon, this complication was originally considered extremely rare. After several years on the market, we are realizing that the severity of the condition lies on a large spectrum of mild to severe cases and occurs more commonly than thought. Because many clinics treat patients without thorough evaluation by physicians, cases are very under reported and patients with the condition are sometimes merely retreated thinking the patient just gained weight. Unfortunately, there is no good data to suggest the exact frequency at which it occurs or whether or not there are any preventable means to avoid the complication. For now, the only treatment recommendation is liposuction.

As a leading expert in fat reduction, Dr. Frank has treated over 50 cases of this condition to date with VASER-assisted (ultrasound) Tumescent Liposuction. Unfortunately, PAL is often difficult to treat with traditional liposuction given the extreme firmness or fibrousity of the affected area. In many cases there is chronic inflammation (panniculitis) in the fat that must be treated medically prior to surgical intervention. A thorough medical history and work up is essential to planning out the treatment of this condition. Surgical intervention, although effective, is not simple and it must be performed with microcannular technique under local anesthesia with ultrasound assistance by a physician who has vast experience in both the technique and this complication. Often a second or staged procedure is necessary to rid of the problem completely. If you have had the Coolsculpting procedure and feel you may be experiencing this side effect, it is essential to inform your provider. If you believe you need medical and surgical intervention during your treatment we are available to consult with you to educate on the options available.

Filed in SmartLipo MPX™ VASER® Liposuction

No If, And, or Butts About It

We all would like a perfectly toned and shapely bottom. It may take some work, but it is possible to achieve a tighter bum. Targeted exercise, the right diet, and a little extra body sculpting treatment can all work together to help transform your backside.

Exercise: Working out several times a week will increase your overall fitness and help you lose weight. To maximize the metabolism benefits of a cardio workout, consider incorporating intervals. Intervals are moments of increased effort during your workout routine. Injecting intense periods of effort that push you to breath harder is a great way to optimize your fitness plan. With the right glute toning exercises, you can lose inches from your bottom in a matter of weeks. Some great butt-tightening moves include:

  • Hip lifts
  • Squats
  • Lunges

The key, however, is consistency. In order to benefit from any exercise, you have to commit. Before embarking on a rigorous exercise program, consult your doctor.

Diet: A healthy, well balanced diet is an essential part of any weight loss and maintenance program. Everybody is unique, so there is not a one-size-fits-all approach to diet and weight loss. However, there are some general guidelines that can be followed:

  • Drink plenty of water
  • Eat nutritious meals that include a mix of protein, vitamin-rich vegetables, and whole grains
  • Know the caloric intake that is ideal for your weight loss or maintenance program
  • Avoid empty calories, such as sugary drinks, sodas, and processed foods

Be cautious of fad diets that leave you feeling deprived or that do not address your fundamental eating habits. Working with your doctor and a professional nutritionist is the best way to ensure that your weight loss and maintenance plan is a healthy and effective one.

Body Sculpting: A Little Outside Help

Unfortunately, an excellent diet and regular exercise may not be enough to fully address stubborn fat in the buttocks and thighs. For individuals who have plateaued with diet and exercise, Dr. Paul Jarrod Frank, a New York board-certified dermatologist and leading fat removal specialist, recommends body sculpting treatments. Some state-of-the-art treatments that he offers include:

  •  SmartLipo is a minimally invasive laser technology that simultaneously removes fat and tightens the skin.
  • VASER is a non-invasive fat removal technique that uses laser technology to destroy fat cells. This treatment combined with SmartLipo can significantly reduce unwanted fat around the bum or thigh area.

If you would like to see how body sculpting can help you achieve the perfect butt, contact Dr. Frank at (212) 327-2919.


Filed in SmartLipo MPX™ VASER® Liposuction, VASERsmooth Cellulite Treatment

3 Best Ways to Get Rid of a Double Chin

Kybella made a big splash and brought fat under the chin to everyone’s minds. One of the most common aesthetics complaints among men and women is having a double chin. This excess fat obscures definition along the jawline and in the neck area, even among individuals with ideal body weight.

Why is a Double Chin So Difficult to Target?
Chin fat, or submental fat, is considered stubborn fat. This term refers to fat in highly resistant, fat-harboring areas, such as the hips, thighs, abdomen and chin. Although diet and exercise can address an overall weight  issue, the only way to reduce the fatty cells in these stubborn pockets is to remove them. Fortunately, Dr. Paul Jarrod Frank is well versed in the most advanced contouring and fat removal techniques that are available today to safely and effectively improve the appearance of the neckline.

So What Are The Best Treatments for Double Chin?

New York City-based Dr. Frank uses four techniques to reduce the appearance of double chins:

  • Liposuction is a minimally-invasive procedure to remove fat with tiny holes, local anesthesia and short downtime. Dr. Paul J. Frank has refined neck liposuction with his unique DualSculpt technique, a precise method that simultaneously removes fat and tightens the skin using SmartLipo MPX and VASER Liposuction.
  • Kybella is an innovative, minimally-invasive injectable technique recently approved by the FDA. Kybella melts submental fat with the aid of its active ingredient, deoxycholic acid. Naturally produced by the body, deoxycholic acid is a substance that helps the body melt fat. Take into consideration that multiple sessions may be required over a few weeks period.
  • Ultherapy can help to tighten the neck’s skin and is an excellent option for patients whose main concern is sagging skin, rather than excess fat. Dr. Frank uses this popular ultrasound wave technology to further tighten and sculpt the jawline following fat reduction.

Consultation with Dr. Frank
If you would like to improve the definition in the chin area, visit our Upper East Side (NYC) office and consult with Dr. Frank. He will examine your skin and go over treatment options one by one to see which one best fits your aesthetic concerns and lifestyle. Schedule an appointment with Dr. Frank today by calling (212) 327-2919.

Filed in Kybella, SmartLipo MPX™ VASER® Liposuction, Ultherapy® - Non-Invasive Skin Tightening

Exercising After Liposuction – Is It Okay?


Tumescent liposuction procedures such as SmartLipo MPX, VASER Liposuction and Liposonix provide a way for patients to remove fat in problem areas that cannot be helped otherwise by diet and exercise alone. These problem areas frequently include the arms, inner thighs, lower abdomen, back and flanks. If you are one of the many people who seek the benefits of liposuction, you obviously value your physical appearance and overall health.

When You Can Exercise After Liposuction

While exercise plays a key role in maintaining the results from your liposuction with Dr. Paul Jarrod Frank in NYC, you need to be cautious of when and how you exercise in the immediate weeks following your fat removal procedure. For example, it is not a good idea to sign up for a Tough Mudder or Spartan Race two weeks after your surgery. Stick to taking walks and even some light jogging to stay active immediately following the procedure. Dr. Frank generally recommends taking a week off of work post-liposuction to give your body time to recover. Though adequate rest is important for recovery, a weeklong Netflix binge on the couch can create negative results. Remaining static for a long period after tumescent liposuction can increase the potential for blood clots to form in your legs and lungs. The bottom line for the immediate days following your liposuction surgery is to use common sense. Pursue a healthy balance of light physical activity without pushing yourself too much. Cosmetic surgeons suggest waiting 4 to 6 weeks after surgery to engage in more strenuous physical activities.

Maintaining Results After Liposuction

Over the years, studies on liposuction surgery have revealed that exercise is essential to keep the fat from returning after the procedure. Many patients who received liposuction in the past assumed their bodies would always maintain the same shape and figure. Contrary to this popular belief, lack of exercise after surgery increases the risk of visceral fat returning to not so flattering parts of the body. Patients who neglected to exercise after liposuction experienced fat returning to the midsections where it can be difficult to lose through diet and exercise. Liposuction surgery is a valuable option for patients who have trouble burning fat in particular parts of the body. Do not assume that liposuction will forever remedy the undesirable shape you once possessed without eating healthy and exercising regularly after the procedure. Liposuction can give your body a kick-start in the direction of maintaining a healthy, beautiful shape. In the months and years after liposuction, balancing your diet and staying active will help you maintain your appearance.

Schedule a Consultation With Dr. Paul Jarrod Frank in Manhattan

When pursuing cosmetic surgeries such as liposuction, it is imperative to seek out a board certified dermatologic surgeon with experience in your particular procedure. Dr. Frank and his team are highly regarded professionals in the field of minimally invasive cosmetic surgery. Dr. Frank is dedicated to providing the best quality dermatologic surgeries along with detailed instruction and follow-up visits to ensure patients maintain their desired shape and beauty. For more information on liposuction and which procedure is right for you, schedule a consultation with Dr. Frank at his fully accredited private practice in New York City.

Filed in SmartLipo MPX™ VASER® Liposuction