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Cosmetic surgeon specializing in buffalo hump treatment

The treatment of buffalo hump is a cosmetic neck surgery procedure.

The buffalo hump belongs to the family of lipodystrophies which are abnormal increases in fatty tissue in certain areas of the body and which are not related to diet. This is the case of the double chin for example.

The buffalo hump is not only unsightly, it can :

  • Limit a person’s ability to extend the head and neck, forcing them to keep their head in a downwardly flexed position.
  • Then alter your head carriage
  • Lead to headaches: painful buffalo hump
  • Then get used to chronic bad postures

This information sheet was written by Dr ABBOU Ralph who is a plastic surgeon in Paris.

Photos of buffalo hump treatment in Paris


What is the buffalo hump treatment ?

The treatment of buffalo hump allows to permanently treat the abnormal accumulation of fat on the neck and sometimes on the shoulders. The treatment is based on liposuction.

What are the goals of buffalo hump liposuction?

  • Definitive treatment of excess fat in the neck
  • Aesthetic improvement of the silhouette
  • Improvement of the mobility of the neck and the nape of the neck if there was a discomfort.

What causes buffalo hump ?

  • Hormonal diseases (thyroid, diabetes…): a hormonal assessment is necessary (blood test) 
  • Side effects of medication. 
  • Genetic or family form

It is not serious in itself. Its main impact is the aesthetic aspect for the person. It is therefore often visible to those around him or her and is potentially an embarrassment for the person.

Who is the treatment for?

The treatment of buffalo hump is intended for patients who have a buffalo hump, i.e. an excess of fat located at the nape of the neck.

The buffalo hump cannot disappear spontaneously.

Some of the patients who consult us have tried medical treatments and diets without obtaining results.

How is the treatment of buffalo hump carried out?

Before treatment

  • Medical consultation with your plastic surgeon to examine you and confirm the possibility of treating the buffalo hump with liposuction.
  • Anesthesia consultation if general anesthesia or sedation
  • Hormonal and preoperative blood tests

Process of the operation

The treatment of this excess fat is based solely on a surgical procedure: liposuction.

Indeed, the only way to remove these localized fatty masses is to suck them out. Diet has no influence on this area.

The surgery takes place in an outpatient clinic under local anesthesia with sedation. General anesthesia is also possible. The treatment of buffalo hump takes place in the clinic.

Post-operative care

Recovery time after buffalo hump liposuction is usually 2 to 3 days, depending on the size of the area treated. However, physical exertion should be avoided for 4 to 6 weeks.

Post-operative discomfort, bruising and swelling are usually moderate.

Post-operative pain is mild.

Price of buffalo hump treatment in Paris

Surgical interventionPrice
Liposuction of buffalo hump From 4000 €

The price may vary depending on the complexity of your case.


What pre-operative medical tests and examinations are usually required before treating buffalo hump?

  • Standard preoperative blood work: liver and kidney function, hemostasis
  • Ultrasound or imaging examination if there is any doubt about a bony buffalo hump.

Are laser or injections useful for treating buffalo hump?

These treatments are not reliable. Liposuction is the only technique that can eliminate the fat located at the nape of the neck called buffalo hump. This is a very fibrous fat. We use microarray assisted liposuction to remove this stubborn area of fat.

Can cryolipolysis coolsculpting treat buffalo hump?

No, Cryolipolysis is not effective in treating buffalo hump because the fat in the back of the neck is very fibrous and dense. Cryolipolysis is not powerful enough to eliminate fat from the neck.

How to get rid of buffalo hump?

The gold standard treatment for buffalo hump is liposuction of the fat located at the back of the neck. Diets are not very effective in targeting neck fat and unless you lose a lot of weight, the shape of your neck will not change much.

Is there such a thing as a bony buffalo hump?

In some cases, the deformity of the neck is not due to an excess of localized fat but to a deformation of a cervical vertebra or of the spine.

During your consultation and clinical examination, your surgeon will distinguish whether the lump in the neck is of fatty or bony origin. He or she may prescribe an imaging test if necessary. If it is not fatty, it is not possible to use cosmetic surgery to treat it by liposuction.

Osteopathic buffalo hump and physiotherapist?

Post-operative care can be prescribed to improve the result obtained by liposuction. Massage sessions will help to eliminate postoperative swelling and soften the operated tissues.

Physiotherapy and osteopathy sessions alone are not a treatment for buffalo hump.

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