How to remove this buffalo hump naturally and safely? (Photo)

I find that vaser is the best solution for this.  You need a very well trained physician to treat this area.  Please see an expert in body contouring.  Dr. Emer.

Using the PAL system under local to flatten down buffalo humps is easy and does very nicely under local.

Hello and thank you for your question. Based on your
photograph, you are a great candidate for liposuction of the posterior neck. The most important aspect is
to find a surgeon you are comfortable with. With good surgical technique, you
could have an outstanding result. I recommend that you seek consultation with a
qualified board-certified plastic surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thank you for your question. Based on the photos provided, it appears you are a candidate for liposuction of your buffalo hump. This is a safe and commonly performed procedure. Please see a board certified plastic surgeon for an in-person examination and to discuss the specific details of the procedure. Ask to see before and after photos to get an idea of what can be achieved. Hope this helps.

Assuming you have no medical issues that caused this, the only way to remove it is with liposuction (any technique will work). Kybella injectiosn may be done but are more expensive.