I am 29 years old and have had a buffalo hump since college. My Mom has one as well, but mine is much more pronounced. I'm overweight, but not obese. My posture is suffering. It looks like I'm constantly slouching. When I stand up really straight though, the hump looks better. I heard about liposuction for this. What is the best technique-ultrasound, tumescent procedure? Does smart lipo work for this area? I would really like to have the procedure done under local anesthesia and not general.