What is the best way to reduce Buffalo hump fat, CoolSculpting, SculpSure or Cyroskin or off-label Kybella ?

You need an in-person consultation and evaluation to determine which treatments would be most appropriate for you. What you describe might be more than just a buffalo hump. In general, Buffalo Humps are more resistant to non-surgical options vs. surgery. Make sure you see an experienced physician. Best wishes.

Unfortunately non-invasive options like Coolsculpting will not give you the improvement you're looking for. For best results in improving a buffalo hump, I recommend a hi-definition procedure like VASER Liposculpture. I use VASER HI-DEF with ThermiRF, Renuvion (J-Plasma), InMode BodyTite, and fat grafting to get the most fat removal, skin tightening, contour and definition. I recommend getting a formal evaluation with a hi-definition physique expert. Best, Dr. Emer

Thank you for your message! It is difficult to fully assess what would be best for you without pictures. I would recommend a consultation with a provider in your area for further assessment. For an issue such as a buffalo hump, a more invasive treatment is typically needed. That being said, with an in person consultation, a provider will be able to find the best option for you, whether invasive or not!