Buffalo Hump Removal

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Buffalo Hump removal, or Cervicodorsal Lipectomy, constitutes an intricate surgical modality nestled within the realm of plastic and reconstructive surgery. This operation is tailored to extirpate an overabundance of adipose tissue amassing on the dorsal cervical region, giving rise to the so-called Buffalo Hump. For those afflicted, this malformation may engender physical unease and self-awareness, as it imposes restrictions on movement, induces cervical and lumbar discomfort, and complicates the procurement of aptly-fitting garments. (1) (2)

A consummate plastic surgeon, well-versed in liposuction methodologies, is customarily entrusted to perform this intervention. The emergence of a Buffalo Hump may be attributed to a plenitude of factors, encompassing corpulence, osteoporosis, iatrogenic sequelae of pharmaceutical prescriptions, Cushing's syndrome, or protracted corticosteroid consumption. Via this surgical modus operandi, patients are empowered to regain their self-assurance and elevate their life's caliber by attaining a harmonious and commensurate corporal contour. (3)

Procedure Details
Duration 1 hour
Age Limit + 18 years old
Pain after surgery 1 week
Working after surgery 2 Day
Anesthesia General Anesthesia
Hospital Stay Same-day Discharge
Recovery Time 2 Week
Surgical Procedure Yes

Definition and Overview

A more symmetrical and attractive contour is achieved by removing the "buffalo hump," a cosmetic surgical operation that targets the excess fat buildup around the base of the neck and upper back. The buffalo hump, so named because it resembles the hump on a buffalo's back, can make people feel self-conscious, uncomfortable, and have fewer wardrobe alternatives. 

By using liposuction, the operation seeks to eliminate extra fat and provide the upper back and neck area a smoother, more aesthetically pleasing appearance.


The following steps are included in the careful surgical method for removing a buffalo hump:

Placement of Incisions: The surgeon skillfully makes small incisions in covert areas, such the upper back or neck's natural skin folds. This methodical incision placement attempts to reduce visible scars and provide the best cosmetic outcomes.

Liposuction: A tiny, hollow tube known as a cannula is introduced through the incisions. The cannula is expertly manipulated by the surgeon in order to reach the extra fat cells in the buffalo hump region. It is possible to use classic liposuction, ultrasound-assisted liposuction, or laser-assisted liposuction procedures. The approach selected is determined on the specific requirements of the patient and the surgeon's experience.

Fat Removal and Contouring: The surgeon carefully removes extra fat cells from the buffalo hump region using a cannula. A more proportional and moulded shape is the desired result. A balanced, harmonious outcome with the rest of the body is ensured by the surgeon's meticulous assessment of the amount of fat to be eliminated.

After removing the fat, the surgeon works on shaping the remaining tissues before closing the wound. To create a smoother, more natural appearance, the region is sculpted and shaped in this step. The surgeon ensures a contour that is harmonious with the surrounding neck and upper back areas while paying particular attention to symmetry.

Closure of Incisions and Postoperative Care: The surgeon uses tiny sutures to close the incisions once the fat has been removed and the tissue has been contoured. To promote healing, reduce swelling, and improve outcomes, the treated region may be covered with sterile dressings or compression clothing. In order to facilitate a speedy recovery, the surgeon gives detailed instructions for postoperative care, including the use of painkillers, wound care, and activity limitations.

It is significant to remember that every buffalo hump removal technique is customised to the demands and goals of the specific patient. Depending on the patient's distinct anatomy and the surgeon's level of experience, the surgical methods and techniques may differ slightly. The surgeon can produce the best and most natural-looking outcomes for each patient by personalising the treatment.

Buffalo Hump Removal Risks and Side Effects

According to Georgina Tiarks, treating a buffalo hump entails various approaches, primarily influenced by its underlying cause. The treatment might encompass medication adjustments, surgery, and lifestyle modifications to mitigate the fat accumulation at the base of the neck.

The treatment might involve risks such as:

  • Possible surgical complications like infection or scarring.
  • Alterations in medication could lead to side effects.
  • Despite treatment, risks of associated conditions like sleep apnea and cardiovascular issues persist.
  • The recurrence of a buffalo hump is possible if underlying causes are not effectively managed.
  • Additionally, the removal might not prevent the development of related disorders such as heart attacks or strokes.

Hence, addressing a buffalo hump goes beyond mere physical removal, necessitating a comprehensive approach to reduce associated health risks effectively.


Candidates for excision of the buffalo hump often include those who:

  • Have a Prominent Buffalo Hump: Candidates ought to have a buffalo hump that is both physically and psychologically uncomfortable.
  • Have Stable Weight: It's crucial for candidates to have a steady body weight because changes can affect the procedure's outcomes.
  • Are in Good General Health: Candidates must be in good general health and should be free of any illnesses that could raise the risks of surgery.
  • Realistic Expectations: Candidates need to be aware of the different outcomes of the process and to have reasonable expectations for the outcome.


Following a procedure to remove a buffalo hump, the following features are frequently seen while the body heals:

  • Recovery Period: In the treated area, patients may have some edoema, bruising, and discomfort. The surgeon could advise taking painkillers and applying cold compresses to minimise swelling and ease any discomfort.
  • Dressings and compression apparel: To speed healing and reduce swelling, the surgeon may apply dressings to the incisions and advise wearing compression apparel.
  • Activities Prohibited: During the initial phase of recuperation, patients are encouraged to refrain from physically demanding activities and to abide by the surgeon's instructions regarding movement and physical effort.
  • Follow-Up Appointments: Patients will have planned follow-up consultations with the surgeon to track their recovery, have any sutures removed, if required.


As the swelling goes down and the body recovers, the consequences of the buffalo hump removal operation gradually become apparent. It is crucial to remember that everyone heals at a different pace. Patients should often start to feel better within a few weeks to a few months of the operation. As the tissues take on their new shape and the body completely heals, the final effects might not be seen for several months.

In conclusion, buffalo hump reduction gives people with a noticeable buffalo hump the chance to get a more balanced and attractive upper back and neck contour. People can make educated decisions and set out on a transformative journey towards a more positive and comfortable self-image by being aware of the definition, process, candidature requirements, post-operative healing status, and expected effects of buffalo hump removal. 

It is essential to speak with a trained plastic surgeon who can evaluate each patient's needs and offer tailored advice for attaining the desired outcomes if you want to learn more about buffalo hump removal and decide if it is the best option for you.

  • (1) - https://elitebodysculpture.com/procedures/buffalo-hump/

    (2) - https://zwivel.com/buffalo-hump-removal-liposuction-and-beyond/

    (3) - https://drkaraplasticsurgery.com/learn/buffalo-hump-removal.html