What is the best procedure to reduce the appearance of a dowagers hump or buffalo hump? (Photo)

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  Posterior neck fullness can often benefit from liposuction of this area.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. 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.  FACS
Harvard-trained plastic surgeon

Thank you for posting your interesting question. Liposuction can safely and effectively remove a collection of back fat called a dowager's or buffalo hump using a small incision. I recommend that you have a consultation with a Board Certified Plastic Surgeon who is experienced with liposuction, who has the proper skill set and liposuction equipment. At the time of your consultation, you will have a detailed history and physical exam, discuss your goals, have all of your questions answered to your satisfaction and review dozens of the plastic surgeon's before and after liposuction results. Best wishes, Richard Wellington Swift, M.D., F.A.C.S.