Which lipo to go with for a buffalo hump? NYC (Photo)

The more doctor I see the more confused I become. :-( so here are my questions? 1. Traditional or laser assisted lipo?? One says laser causes hyperpigmentation the other swears; for small areas they never use laser only traditional. 2. What are the chances to end up with loose skin or/and lumps, irregularities of the skin after lipo of the Buffalo hump 3. Fat is very dense, fibrous in this area, will traditional lipo be able to break down the fat? Thank you for taking the time!