Dowager's hump: can liposuction be done if there is bone in the area? (Photos)

Question

Can liposuction be done on the buffalo hump or dowagers hump if there is bone in the area? I have the left side which looks worse than the right for some reason wondering if I can get a smoother appearance? And if you have little fat can liposuction still be done? I'm extremely self conscious of it :( and also I've been trying to work on my posture but even when I was at my lowest weight I still had that bump there.

Jason Emer, MD · Answer

yes liposuction can be performed on the back of the neck or hump for improvement.
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Finny George, MD · Answer

Hi, thank you for your question. Yes, liposuction can be used to treat a Buffalo hump. An in person consult with a board certified plastic surgeon is helpful to gain a better understanding. I hope this helps. Best of luck!

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. Based on your photo you appear to be a good candidate for this procedure. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.
Kind regards,Dr. Emmanuel Mallol Cotes.-

Jeremy Hunt, MBBS, FRACS · Answer

Hi,the Dowager's or Buffalo hump is often treated with liposuction if the issue is one of deposition of fat. the results are predictable and patients are usually very satisfied.if the issue is curvature of the cervical/neck spine, then the solution is not liposuction. The answer is to assess the issue through examination, and if needed an Xray can be helpfulJeremy Hunt

Kenneth Hughes, MD · Answer

Liposuction of the buffalo hump under local anesthesia is probably reasonable but you would need to be evaluated in person to determine if that is the best treatment.

Daniel Barrett, MD · Answer

Dear bbl98,
liposuction can be used for removal of buffalo hump. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Robert M. Tornambe, MD · Answer

I appreciate your concerns, and liposuction has been an excellent and effective tool to treat so called buffalo hump deformity for years. Consult with a board-certified plastic surgeon in your area to greatly increase your chances for the best possible result. Good luck.

Carlos Castaneda, MD · Answer

Hard to tell without looking at pictures at leastIf there is fat build up there, liposuction will surely give you some improvement

J. Joseph Danyo, MD · Answer

Skeletal issues can obviously affect the appearance of a hump in the upper back. However often times excess fat is part of the cause. Small areaa like this are very easily liposuctioned under straight local anesthesia as an office procedure.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Yes, this area can be treated with liposuction. The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

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