Bad Results from Lipo on Buffalo Hump - What Now?

    Sometimes liposuction cannot remove fibrous tissue of this area, but I have not had difficulty with this.  It is more strenuous on the surgeon.  Find the plastic surgeon with ELITE credentials who performs hundreds of liposuction procedures each year.  Kenneth Hughes, MD Los Angeles, CA

Regarding Buffalo Humps, I have had significant success with advanced laser powered liposculpting techniques. You just need to see the correct person. 

This tissue can be fibrous. I would recommend going to a revision specialist that can address this specific area of fat accumulation. Best, Dr. KaramanoukianRealself100 Surgeon

I agree with Dr Kraft. I think its important to knwo that this area does not respond very well to Liposuction and its better to have it evaluated by MRI just to make sure this is not anything but a fatty growth. surgical excision is better but will leave a scar

A buffalo hump is difficult to suction because it is very fibrous. Sometimes it is better to perform direct excision but it leaves a significant scar on the back.

Buffalo hump deformities can be difficult to extract by liposuction as they have a high fibrous tissue content. This may have been exacerbated by the previous lipodissolve injections causing greater fibrosis. Either a liposuction approach using an energy-assisted approach like laser or vaser or an open excisional approach needs to be done. The most assured method is going to be an open excision.

A fibrous or diffuse lipoma is not easy to remove. I do not recommend lipodissolve for this; it does require formal excision. I cannot imagine why your surgeon was unable to remove more of the mass. My first question is whether you saw a board certified plastic surgeon. Secondly, were you sent for an MRI prior to surgery to evaluate the mass?