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

All liposuction techniques can be very effective for addressing your buffalo hump.  From what your pictures show there appears to be little chance of having loose skin after the procedure.  Laser assisted liposuction, ultrasound assisted liposuction and traditional liposuction can all be very effective for this area.  What is most important is your surgeon's experience and expertise with treating this area, as it can be challenging to achieve an optimal result, since the fat in this area is often dense.  The good news is that the success rate is very high with the proper approach.  I recommend that you discuss this with a board-certified Plastic Surgeon who performs multiple different techniques to help you determine with option is best for you.  Best of luck to you!

Hello,The buffalo hump can be effectively treated with traditional tumescent liposuction under local anesthesia and the skin typically retracts well. An experienced Plastic Surgeon is all you need!Warm regards,Dr. Pedy Ganchi                                                                                                         Village Plastic Surgery

imuzone I appreciate your frustration and confusion, however buffalo hump is not that unusual and I have treated many of these cases quite successfully with traditional liposuction only. Even though the fat in this region is fairly fibrous, it is easily broken down with traditional liposuction and then suctioned away. That area on the back re-drapes nicely and I have never had issues with loose skin or irregularities.  Come see me or another board-certified plastic surgeon in the area to increase your chances of the best possible result. Good luck.

Fat at the base of the posterior neck/upper back is often referred to as a buffalo hump.  Many times this fat collection is actually a large lipoma or benign fatty tumor.  As such it can have a capsule which if not removed could cause the lipoma to reoccur.  Excision or removal would be the best way to remove it but this would leave an unsightly scar. Laser and ultrasonic liposuction both heat and melt the fat which is then sucked out.  Traditional liposuction mechanically removes the fat.  Any of the techniques used correctly will work fine and without complications.  The skin of the back is very tight and will contract without leaving excess skin.

Thank you for posting your photo with your interesting question. Your buffalo hump can be safely liposuctioned with either technique so long as the plastic surgeon has experience with the procedure. You are looking for a result, not necessarily a technique. The buffalo hump has fat and fibrous tissue inside. I use a combination of special  techniques to deliver the best results, which I have successfully done many times. The back skin is very thick and elastic and will most certainly contract for you. I recommend that you have a consultation with a Board Certified Plastic Surgeon who is highly experienced with liposuction. At the time of your consultation, you will have an examination of the buffalo hump, discuss your goals, have al of your questions answered to your satisfaction and see many of the plastic surgeon's before and after buffalo hump liposuction case photos. Best wishes, Richard Wellington Swift, M.D.