Coolsculpting is good for removing stubborn areas of fat, but I don't recommend it for improving a buffalo hump, because it lacks body shaping. For best results, I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermiRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer
i doubt you could do CS there but liposuction works great and can be done under local anesthesia. you can see results immediately with essentially no down time