Published by Dr. Brandon Richland, MD
Linda Evangelista, one of the most recognizable faces from the golden era of supermodels, has shared her challenging experience with plastic surgery performed by a different doctor. After undergoing a series of CoolSculpting treatments between 2015 and 2016, she faced unexpected and rare side effects that dramatically changed her appearance and life.
The procedure, intended to reduce fat through cryolipolysis, instead led to paradoxical adipose hyperplasia, a condition causing hardened, enlarged fat deposits. This is a rare side effect that could occur from CoolSculpting procedures. Evangelista’s story sheds light on the risks that can come with cosmetic enhancements, even those marketed as safe and noninvasive. Her journey has sparked important conversations about beauty standards, self-acceptance, and the emotional impact of cosmetic procedures.
Linda Evangelista, often called one of the greatest supermodels, helped define the era of the five supermodels alongside Cindy Crawford, Naomi Campbell, Christy Turlington, and Claudia Schiffer. Evangelista’s modelling career began in Canada, where this native Canada beauty quickly rose to international fame, gracing countless covers and becoming a true fashion icon.
Known for her short hair cut, she reinvented herself time and again, appearing in a iconic music video and collaborating with photographers. She became a model led force who influenced the industry standard of what a supermodel could be, even earning a spot on Canada’s Walk of Fame.
Canadian fashion model Linda Evangelista, recognized as a key figure of the supermodel era, underwent CoolSculpting treatments between August 2015 and February 2016 aiming to refine her silhouette.
Linda Evangelista’s experience with plastic surgery defied expectations. Hoping to refine her silhouette, the Canadian model underwent a series of CoolSculpting fat-freezing treatments. Instead, she endured severe and lasting side effects, shifting conversations in the fashion industry about cosmetic procedures’ risks.
Evangelista revealed her experience publicly several years later, sharing how her appearance changed so dramatically that she avoided high fashion runways and the fashion world’s spotlight. She described dreading to look in the mirror and explained that the PAH complication altered both her personal life and career. Evangelista reported two unsuccessful corrective surgeries following the treatment, which amplified both her emotional and physical pain.
Beyond medical treatment, Evangelista has admitted to trying liposuction, fillers, and Botox over the years. She has described both positive and challenging experiences with aesthetic procedures, noting how some choices worked for her while others did not.
Linda Evangelista has been candid about her experience with cosmetic procedures beyond the runway. She has confirmed undergoing liposuction to refine her figure during her modeling years, a choice that reflected the pressures of maintaining a flawless image as one of the top supermodels of her era.
She has also spoken about using dermal fillers and Botox, treatments that were popular among the beautiful people of the fashion world.
Less than 1% of CoolSculpting patients, face PAH, yet Evangelista experienced extreme consequences. She underwent two unsuccessful corrective surgeries and persistent physical pain.
Emotional toll from the condition was significant. Evangelista revealed intense depression and self-loathing. She receded from high fashion runways and public appearances, and described a prolonged period of reclusiveness and missed professional opportunities. Despite physical and emotional trauma, Evangelista continued seeking support, including therapy, to rebuild self-acceptance.
Public reaction to Linda Evangelista’s complications brought widespread attention to the rare but serious risks linked to cosmetic surgery. Major outlets like Harper’s Bazaar, British Vogue, and the Chicago Tribune covered her ongoing story, casting light on the dangers of PAH and creating broader conversations around beauty standards in the fashion world.
Evangelista’s lawsuit against Zeltiq Aesthetics, and her decision to share photographs of her altered appearance, encouraged further dialogue about psychological impacts and support for affected individuals. Influential models and fashion designers acknowledged the emotional vulnerability public figures face in dealing with disfigurement, while Evangelista’s openness inspired discussions on self-acceptance beyond physical appearance among the most famous women in modeling.
Public scrutiny of beauty standards shaped the trajectory of Linda Evangelista’s modeling career, especially as she endured visible changes after her CoolSculpting procedure resulted in paradoxical adipose hyperplasia (PAH). These pressures intensified as the Canadian fashion model became one of the most famous women to speak openly about complications from cosmetic surgery. Following her experience, Evangelista revealed that she often couldn’t look in the mirror, stating that her new appearance deeply affected her mental health and sense of self-worth.
Media attention on supermodels like Evangelista spotlights the impact of aging and evolving beauty norms in the fashion industry. Evangelista’s story has redirected conversations at fashion houses and publications such as British Vogue and Harper’s Bazaar toward the challenges women face maintaining their careers amid changing looks. Her openness about being brutally disfigured counters historic narratives in the fashion world that often promote unattainable perfection.
Evangelista’s relationship with beauty shifted after her PAH diagnosis and subsequent treatments, she undergo a double mastectomy after breast cancer diagnosis, and surviving lung surgeries, from which she retains chest tube scars. Despite these medical complications, she remains a key figure among influential models from the supermodel era. Alongside icons like Cindy Crawford, Naomi Campbell, Christy Turlington, and Kate Moss, Evangelista continues to raise awareness about the cost of cosmetic interventions that many in high fashion runways face.
Her journey highlights the emotional consequences of losing “pretty privilege,” which shaped her life as an elite model management client and as a muse for fashion designers like Karl Lagerfeld. Evangelista appeared in campaigns for top brands and featured on covers of internationally recognized magazines including Vogue Italia. Now, by publicly addressing her struggles with self-acceptance, scarring, and body image, Evangelista expands the ongoing dialogue about beauty, age, and resilience in the global fashion landscape.
Evangelista’s experience with paradoxical adipose hyperplasia (PAH) after CoolSculpting underscores the risk of serious, rare complications from even FDA-approved noninvasive cosmetic procedures.
Her case revealed that around 0.0051% of patients, or roughly 1 in 20,000, may develop PAH, resulting in enlargement and hardening of fat cells rather than fat loss, as occurred with the model. Extensive corrective surgeries, including liposuction attempts, only partially improved her physical outcome, leaving areas like the chin, thighs, and underarms permanently deformed and contributing to lasting emotional distress.
Linda Evangelista developed paradoxical adipose hyperplasia (PAH), a rare side effect that caused enlarged, hard fat deposits instead of fat reduction, leaving her visibly and permanently disfigured after several CoolSculpting sessions between 2015 and 2016.
Linda Evangelista had seven CoolSculpting procedures targeting her abdomen, flanks, back, bra area, inner thighs, and chin during 2015 and early 2016.
Evangelista raises awareness about the potential risks of cosmetic procedures, even those considered “safe,” stressing the importance of informed consent and realistic expectations.
PAH is rare, occurring in approximately 0.0051% of CoolSculpting patients, but can cause severe and permanent physical changes.
Linda Evangelista’s journey shines a light on the hidden risks tied to cosmetic procedures and the lasting impact they can have on both physical and emotional well-being. Her courage in sharing her story has sparked vital conversations about self-acceptance and the pressures of beauty standards in the fashion industry.
By speaking out, she’s encouraged others to seek honest information and consider the potential consequences before pursuing aesthetic enhancements. Evangelista’s experience continues to inspire a more open dialogue about the realities behind the pursuit of perfection.
Please note that this article is intended for informational purposes only and should not be construed as medical advice. Before making any changes to your treatments, please consult with your healthcare provider to discuss the appropriateness and safety of such changes.
Are you located in one of these Orange County (OC) / Southern California cities?
Aliso Viejo, Anaheim, Brea, Buena Park, Costa Mesa, Coto de Caza, Cypress, Dana Point, Fountain Valley, Fullerton, Garden Grove, Huntington Beach, Irvine, La Habra, La Palma, Laguna Beach, Laguna Hills, Laguna Niguel, Laguna Woods, Ladera Ranch, Lake Forest, Los Alamitos, Mission Viejo, Newport Beach, Orange, Placentia, Rancho Santa Margarita, San Clemente, San Juan Capistrano, Santa Ana, Seal Beach, Stanton, Tustin, Villa Park, Westminster, or Yorba Linda?
Plastic Surgeon Dr. Brandon Richland, MD and our Cosmetic Aesthetics Team are ready to help you look and feel your absolute best.
Elevate your confidence and self esteem levels to unfathomable new heights!
Schedule your in-person consultation in our modern and luxurious offices in either Fountain Valley, CA (Main HQ) or our Newport Beach, CA office.
Do you live outside of Southern California or short on time? For your convenience, Virtual Consultations are also available.
Our warm and engaging Team of carefully selected Aesthetics Professionals will make you feel calm, cool, collected, and right at home throughout your entire consultation and surgery process.
Schedule Your Aesthetics Consultation here, or call us directly at 949-867-4496 today.
Dr. Brandon Richland, MD is a respected Board Certified Licensed Plastic Surgeon in Orange County / Southern California specializing in cosmetic and reconstructive surgeries.
Driven by his passion for medicine, Dr. Richland obtained his Doctor of Medicine (M.D.) degree from the prestigious program at Saint Louis University (SLU) School of Medicine in 2013. His exceptional skills were recognized when he received the McGraw Hill / Lange Medical Student Academic Achievement Award, and graduated top of his class with Honors. For his undergraduate degree, he attended University of California, Los Angeles (UCLA) and graduated with Honors in 2009.
To further enhance his surgical expertise, Dr. Richland completed his Residency in Plastic Surgery at the University of California, Irvine (UCI) from 2013 to 2019 earning the Academic Achievement Award twice during this period. A total of 14 years in dedicated schooling and medical residency.
Dr. Richland is actively involved with healthcare and medical societies, as a Diplomate of the American Board of Plastic Surgery, a member of the American Society of Plastic Surgeons, American Society of Aesthetic Plastic Surgeons, and the California Society of Plastic Surgeons.
Contact Dr. Richland today by visiting RichlandMD.com, scheduling a cosmetic consultation, or by calling 949-867-4496 directly.
Cover Image Illustration by: Dr. Brandon Richland, MD.