- BBC News World
Model Linda Evangelista, one of the most famous supermodels of the 90s, announced this week that in the last five years she became a “recluse” due to a complication during cosmetic treatment that left her “permanently deformed.”
“I have developed paradoxical adipose hyperplasia or HAP, a risk that I did not know anything about before undergoing the procedures, “he said Wednesday in a post on his Instagram account.
There she also revealed that she will sue the company that performed the treatment, a cosmetic slimming procedure called cryolipolysis that, according to her, “did the opposite of what it promised” and left her “brutally disfigured”.
La paradoxical adipose hyperplasia (also known by its acronym PAH) is a rare problem that can occur during a cryolipolysis treatment, the procedure Evangelista underwent.
Cryolipolysis is a cosmetic slimming procedure, which is part of what is known as body contouring treatments or body contouring.
This procedure seeks freeze body fat (adipose tissue) in places where it is difficult to remove it.
For this, very low temperatures are applied to the area to be treated, for a certain period of time.
The objective is to separate the fat from the tissues and eliminate it, without the need for surgeries.
According to the promoters of this treatment, a single session destroys between 20% and 25% of the fat cells in the treated area, although the results are not seen immediately and begin to reflect over time.
The United States Food and Drug Administration (FDA) considers it a safe procedure, so it was approved, first for use on the hips, in 2008, and later for the abdomen, in 2011.
However, a very small group of people – especially men – have suffered an adverse reaction after undergoing this treatment.
As happened to Evangelista five years ago, these people develop paradoxical adipose hyperplasia, which causes that, instead of being reduced, the fat cells increase, forming a hardened area of localized fat.
This rare complication can appear between 8 and 24 weeks after the procedure and occurs in the area where cryolipolysis was performed.
What the Research Says
It is still unknown why some people develop PAH after undergoing cryolipolysis treatment.
A study published in 2014 in the dermatology journal JAMA Dermatology, of the American Medical Association, revealed that the chances of this happening are very low: just 0.0051%.
He also highlighted that “no risk factors have been identified“particularly among those who suffer from it, although it does” seem to be more common in male patients undergoing cryolipolysis.
“At this time, there is no evidence of spontaneous resolution,” he added.
However, a later study, published in 2018, concluded that PAH “may be more common than previously thought“.
This work, published in the journal “Plastic and Reconstructive Surgery” of the American Society of Plastic Surgeons (ASPS), estimated that it had a higher incidence, of 0,025%.
“Based on data from the manufacturer of the cryolipolysis equipment, it has been estimated that PAH occurs in 1 in 4,000 cycles treatment “, he detailed.
“People think that non-surgical treatments they are saferBut that’s not necessarily the case, “Professor Ash Mosahebi, a plastic surgeon and member of the British Association of Aesthetic Plastic Surgeons, told the BBC.
According to Mosahebi all procedures have risks.
The study published in 2018 stated that “PAH can be successfully treated with liposuction.”
However, in his message, Evangelista said that he had undergone “two painful and corrective surgeries that did not work.”
Physical and psychological effects
In her social media post, the 56-year-old former Canadian model revealed with stark honesty the impact that paradoxical adipose hyperplasia has had on her life.
He said that he left her without the possibility of working “while my colleagues’ careers have prospered.”
And revealed the psychological damage it left him feeling “unrecognizable”.
“PAH has not only destroyed my livelihood, it has sent me into a cycle of depression and deep sadness, and lower levels of self-loathing,” he confessed.
Some of the supermodels who became famous alongside her in the 1990s responded to her post with messages of support.
“Linda, your strength and your true essence! are always recognizable and iconic! Bravo! “Wrote American Cindy Crawford.
“You are loved,” Christy Turlington, also an American, told him.
The longest message was dedicated to her by Danish supermodel Helena Christensen, who congratulated her on the “immense courage and strength“you had to write your message.
“I can honestly say that I broke down in tears reading this. Not just because I knew in my heart that you had somehow been quietly passing by. something deeply personal and disturbing, but also because I thought about all the scars that life leaves on all of us, be they physical or emotional and how long we suffer mainly in silence and alone. “
“It is so important and beautiful when someone comes out of the shade and is brutally honest and real. Thank you for being beautiful inside and out,” she wrote.
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