Darren M. Smith MD. FACS
A woman is sitting on a couch with her hands on her neck.
Super DoctorsAmerican Board of Plastic SurgeryThe Aesthetic Society

Buffalo Hump Liposuction NYC

Are you self-conscious about a noticeable bump on the back of your neck? This condition can develop from excess fatty tissue accumulation, negatively impacting your confidence and quality of life. Left untreated, the hump may continue growing, exacerbating poor posture and can make you feel uncomfortable in your own skin.

Luckily, there is a minimally invasive procedure that can successfully remove “buffalo humps” – Liposuction. As one of the top surgeons in New York specializing in this technique, Dr. Darren M. Smith uses advanced liposuction methods to contour the entire neck area.

Contact Us
4.9 from 150+ reviews

I feel more like myself again. The results were so natural, and the process was so smooth! Dr. Smith truly understands what makes you feel confident.

S G

Understanding Buffalo Humps


A buffalo hump is fatty excess of the dorsocervical fat pad. The fat sits at the base of the back of the neck and between the shoulders and leaves a noticeable hump. Excess body weight is a very common cause of a buffalo hump, but other factors and medical conditions may contribute as well. Some common causes that contribute to this accumulation include:
  • Hormonal imbalance
  • Genetic predisposition to fat in this area
  • Cushing’s Syndrome
  • Medications for HIV (Lipodystrophy)
  • Tumor or pituitary dysfunction
  • Other endocrine issues
  • Poor posture or kyphodis may mimic this condition by favoring cervical flexion
  • Osteoporosis may also mimic this condition by causing cervical collapse

Difference Between a Dowager’s Hump and a Buffalo Hump

A dowager’s hump is caused by a forward curvature in the bones of the spine. A buffalo hump is caused by a fat deposit on the back of the neck.
buffalo-hump-1.webp

Why Choose Liposuction for Buffalo Hump Removal?

Among minimally invasive options, liposuction is highly effective at eliminating buffalo humps if it is caused by extra fat and not by an underlying medical condition. More advanced ultrasonic methods like VASER liposuction can strategically address both fat and fibrous tissues. AirSculpt is a marketing term for an older form of liposuction (laser assisted liposuction) that can also be used to treat this issue.

If you have a hump at the base of your neck, visit Dr. Smith for your initial consultation.
VASER uses ultrasonic waves to selectively melt and break up fatty deposits before gentle removal. This allows for precise contouring even in nodular areas that can be resistant to surgery.
AirSculpt is an older technology that incorporates laser liquefaction followed by controlled extraction of dissolved fat. This technique is also designed to minimize trauma and bruising compared to traditional suction-only methods, but we find VASER to be far more effective.
Power-assisted liposuction is also highly effective due to its ability to gradually dislodge tough, intertwined tissues through mechanical vibrations.
Advanced energy-based technologies especially benefit buffalo hump treatments by smoothly sculpting the region while maintaining a natural transition between contours. Their application of focused heat optimizes results through safe, thorough liquefaction and removal of excess deposits.
buffalo-hump-2.webp

The Liposuction Procedure

Consultation

The first step is a comprehensive consultation where Dr. Smith will thoroughly examine the hump and neck area, take your medical history, and assess if you are an ideal candidate. This allows customizing a surgical strategy tailored to each patient’s needs.

Preparation

In preparation, patients will be advised to discontinue certain medications that could increase bleeding such as anti-inflammatory drugs, blood thinners, and others 10-14 days prior to surgery. Ceasing these ahead of time helps ensure a safe procedure.

Procedure

For buffalo hump removal, Dr. Smith often uses power-assisted liposuction along with VASER ultrasound technology. This helps break up fibrous tissue in the area while minimizing trauma to the tissues.
First, Dr. Smith will make small incisions in the treatment site. Then, the dense fat of the hump is suctioned away using a cannula. This leaves you with a smoother, flatter back profile.

Procedure

For buffalo hump removal, Dr. Smith often uses power-assisted liposuction along with VASER ultrasound technology. This helps break up fibrous tissue in the area while minimizing trauma to the tissues.
First, Dr. Smith will make small incisions in the treatment site. Then, the dense fat of the hump is suctioned away using a cannula. This leaves you with a smoother, flatter back profile.
After the procedure, Dr. Smith will recommend a compression garment to wear consisently for 48 hours as swelling subsides post-op. After this initial period, it is removed and you can take your first post-procedure shower.
Right after surgery, Dr. Smith will keep you in one of our aftercare suits for a short time. Then you’ll be released to go home. Please note – no driving yourself. Instead, arrange a ride with someone you trust. They can take you home once you’re ready for discharge.

Anesthesia

Dr. Smith performs buffalo hump removal using local anesthesia. So you’ll feel numb but remain awake during the less than one hour procedure. If you prefer to be partially or completely asleep, we will arrange for our board certified anesthesiologist to provide IV sedation (“twilight anesthesia”) or general anesthesia as appropriate.

Buffalo Hump Lipo Post-Procedure Care and Recovery

While liposuction is minimally invasive, swelling, bruising, and soreness often occur after surgery. These issues gradually improve over the following days. Many patients rely on over-the-counter medications to ease any discomfort experienced.

Typically, buffalo hump liposuction recovery is easy, with minimal downtime. Most people can return to office work within one to two days. However, those with more complex cases or combining it with other procedures may have an extended recovery period.

In general, patients should avoid strenuous exercise for two weeks post-op. Be sure to get Dr. Smith’s approval before restarting your workout routine.
The good news is that any discomfort tends to fade quickly. Work closely with Dr. Smith and follow all aftercare instructions to aid your recovery and achieve the best results.
For women with PCOS, the areas of the body where liposuction can be applied are generally the same as for those without the condition. These areas include zones where stubborn fat deposits have gathered and haven’t responded to diet or exercise.
Contact Us
VogueAllureElleByrdieCBSRefinery29The New York Times

Real Patient Testimonials

“I Should Never Consider Another Plastic Surgeon!”

My experience with Dr. Darren Smith and his staff made it obvious that I should never consider another plastic surgeon! I had several consultations with other cosmetic surgeons for a breast lift procedure before making the indisputable choice to go with Dr. Darren Smith.

S K

Contact Us
buffalo-hump-ba-1.webp

When Will You See Results?

Liposuction permanently eliminates fat cells. Within a couple weeks post-op, you’ll see a pleasing change in your contour. However, the final results fully emerge once all the swelling subsides.
It generally takes 3-4 months for final results to appear. Be patient during your recovery – the swelling gradually decreases over this timeframe.

Can a Buffalo Hump Return After Removal?

Whether a buffalo hump recurs depends on the underlying cause. If a medical condition led to its development, proactively managing your situation through proper care can lower the chances of reoccurrence. Sometimes adjusting medications prevents regrowth as well.
If weight gain caused the hump, the eliminated fat cells won’t grow back. However, if you put on significant weight post-op, you may need a second procedure to address expansion of any fat cells remaining in the treatment area – this is a very uncommon occurence.

Benefits of Buffalo Hump Liposuction

Aesthetic Enhancements

By eliminating fatty humps and sculpting a smooth, proportional upper back, patients achieve a dramatically improved aesthetic profile. They can look forward to showing off an athletic, balanced neckline no longer distorted by fat accumulation. With larger buffalo humps, the procedure can improve the appearance of the neck region from the front as well as the sides and back.
buffalo-hump-3.webp
buffalo-hump-4.webp

Practical Improvements

Beyond cosmetic effects, buffalo hump liposuction can help patients fit into standard clothing sizes and wear their outfits of choice with pride. Patients feel empowered and confident participating in daily activities without self-consciousness.

Long-Lasting Results

We use advanced body contouring techniques to achieve results that last for years to come. Dr. Smith creates a naturally harmonious form maintained through a healthy lifestyle. His artistry achieves sophisticated symmetry pleasing to patients and observers alike. Combined with nonsurgical wellness, these refined contours motivate long-term confidence and self-care.

Potential Risks and Complications

While generally safe, buffalo hump liposuction carries minor risks as with any surgery. Loose skin or numbness may rarely occur but typically fade over weeks. Other minor risks include
  • Bruising
  • Swelling
  • Numbness
  • Unsatisfactory results
  • Infection
Selecting a board-certified plastic surgeon such as Dr. Darren M. Smith, who specializes in plastic surgery and performs this surgical procedure frequently helps minimize complications. Proper post-operative care and a healthy lifestyle also aid the healing process.
buffalo-hump-5.webp
buffalo-hump-6.webp

Cost and Financing

The average cost of buffalo hump liposuction surgery ranges between $5,000- $8,000 depending on individual factors like extent of removal needed and anesthesia. This typically covers the surgeon’s fee but may not cover facility fees and anesthesia by board-certified anesthesiologiste.

Frequently Asked Questions

Why Choose Dr. Darren M. Smith?

With expertise in body contouring procedures and advanced training in plastic and reconstructive surgery, Dr. Smith brings specialized skills and artistry to buffalo hump treatments.
As a board certified plastic surgeon, he understands regional anatomy and ensures natural, balanced outcomes. Dr. Smith is committed to providing sophisticated results with the latest techniques for safe and effective hump reduction.

For those seeking an improved appearance and confidence through buffalo hump reduction, Dr. Smith’s extensive training and artistic expertise ensure natural-looking, long-lasting results.

A private consultation allows thorough evaluation and planning of the right customized approach.
micro-lipo-11.webp

Buffalo Hump in the Heart of New York City

Dr. Smith’s practice sits in Manhattan’s Upper East Side, steps from Central Park and at the center of New York City’s most established medical corridor. The office welcomes patients from across the five boroughs, the tri-state area, and well beyond.

Choosing where you have surgery matters as much as choosing who performs it. New Yorkers come to Dr. Smith because his work reflects the city itself: refined, exacting, and never one-size-fits-all. Whether you’re a lifelong New Yorker or traveling in for a consultation, you’ll find a practice that treats every patient with precision and discretion that have made Manhattan a destination for plastic surgery patients from around the world.

Belvedere Castle in Central Park, New York City — steps from Dr. Smith's Manhattan practice

Schedule a Buffalo Hump Consultation with Dr. Darren Smith

Call Today (212) 633-0627

“Within the first couple of minutes of meeting him, I knew he was the doctor for me.”

N F

New York, NY

Google
4.9

By submitting this you agree to be contacted by Dr. Darren Smith via text, call or email. Standard rates may apply. For more details, read our Privacy Policy.