A buffalo hump describes a fatty deposit that develops at the upper back, near the base of the neck. In selected patients, buffalo hump removal surgery in Sydney may be considered to reduce this prominence and improve contour.
Several factors can contribute to a buffalo hump. These include genetic fat distribution, weight changes, certain medications, and underlying medical conditions, such as endocrine disorders (e.g., Cushing’s syndrome). For this reason, Dr Tim may recommend a medical assessment where appropriate before considering surgery.
Buffalo hump removal typically involves liposuction, direct excision, or a combination of both. Dr Tim selects the technique based on the size of the deposit, tissue characteristics, and surrounding anatomy.
Surgical Options for Buffalo Hump Removal
1) Liposuction
Liposuction is commonly used when the deposit consists mainly of soft fatty tissue.
During surgery:
Dr Tim makes a small incision near the treatment area
He inserts a fine tube (cannula) beneath the skin
He removes fat in a controlled manner to improve contour and symmetry
This approach aims to smooth the transition between the upper back and neck while maintaining natural proportions.
2) Direct Excision (when indicated)
Some buffalo humps contain more fibrous tissue or dense fat. In these cases, liposuction alone may not achieve the desired contour. Dr Tim may therefore recommend direct surgical excision.
During excision:
Dr Tim removes excess fat and fibrous tissue directly
He closes the incision carefully to support a neat scar and consistent contour
Tailored Surgical Planning
The best approach depends on:
the size and firmness of the deposit
whether tissue is soft fat vs fibrous tissue
skin quality and elasticity
overall body contour and anatomy
During consultation, Dr Tim assesses the suitability of buffalo hump removal surgery in Sydney and explains the options, expected recovery, and surgical risks as part of informed consent.
Quick Facts About Buffalo Hump Removal Surgery
Procedure Duration: 1–2 hours.
Anaesthesia: Local anaesthesia with sedation or general anaesthesia.
Hospital Stay: Day procedure.
Results: Immediate improvement; final results visible after the swelling subsides (3–6 months).
Longevity: Permanent results if the underlying cause is managed.
Best Candidates: Individuals with a fatty deposit at the base of the neck who are in good overall health.
What to Expect
Before Surgery:
Your consultation with Dr. Tim will include a comprehensive assessment of the buffalo hump and its potential causes. A detailed surgical plan will be created, and preoperative instructions (e.g., fasting and avoiding certain medications) will be provided. If the hump is related to an underlying medical condition, managing that condition may be recommended before surgery.
During Surgery:
The procedure is performed in a fully accredited surgical facility.
If liposuction is used, tiny incisions are made, and a cannula is inserted to break down and remove the fatty tissue.
For direct excision, a slightly larger incision is made to allow for the removal of fat and fibrous tissue.
Incisions are placed discreetly to minimise visible scarring, and the area is carefully contoured for a natural appearance.
After Surgery:
Patients can typically return home the same day. Mild swelling, bruising, and discomfort in the treated area are normal during the initial recovery period.
1. What is a buffalo hump?
A buffalo hump is a fatty deposit at the upper back, near the base of the neck, which can result from obesity, hormonal imbalances, medications, or genetics.
2. Who is a good candidate for buffalo hump removal?
Good candidates are individuals with a noticeable fatty deposit at the base of the neck who are in good health and have realistic expectations.
3. How long does recovery take?
Most patients return to light activities within 1–2 weeks, with full recovery taking 4–6 weeks.
4. Will there be visible scars?
Scars are minimal and placed in discreet locations, typically fading significantly over time with proper care.
5. Are the results permanent?
Yes, the results are long-lasting if the underlying cause (e.g., weight or hormonal imbalance) is managed.
6. Is the procedure painful?
The procedure is performed under anaesthesia, ensuring no discomfort during surgery. Post-operative discomfort is mild and manageable with prescribed medications.
7. Can liposuction alone remove a buffalo hump?
Liposuction is effective for soft, fatty humps. However, for larger or fibrous humps, surgical excision may be necessary.
8. What causes a buffalo hump?
Common causes include obesity, prolonged steroid use, hormonal imbalances (e.g., Cushing’s syndrome), genetics, or poor posture.
Risks
Buffalo hump removal surgery is safe and effective when performed by an experienced surgeon, but potential risks include:
Infection or delayed wound healing.
Scarring (typically minimal and strategically placed).
Asymmetry or dissatisfaction with the aesthetic result.
Changes in skin sensation (temporary or permanent).
Seroma (fluid accumulation) or hematoma (blood pooling).
Rare complications, such as blood clots or anaesthesia-related issues.
Recovery Tips
Follow Post-Operative Instructions: Adhere to Dr. Tim’s detailed recovery guidelines, including wound care and medication.
Wear a Compression Garment: If provided, it helps reduce swelling and support the treated area.
Limit Physical Activity: Avoid strenuous activities and heavy lifting for 4–6 weeks.
Sleep Comfortably: Use a supportive pillow to reduce strain on the neck and back.
Hydrate and Rest: Proper hydration and rest are essential for a smooth recovery.
Maintain a Healthy Lifestyle: Prevent recurrence by managing weight and underlying conditions.
Dr Tim is a certified cosmetic and plastic surgeon, past president of the Australasian Society of Aesthetic Plastic Surgery (ASAPS), a member of the Australian Society of Plastic Surgeons (ASPS) and a Fellow of the Royal Australasian College of Surgeons (FRACS). Tim is also an International member of the American Society of Plastic Surgeons. Dr Tim is a member and Board Director of the International Society of Aesthetic Plastic Surgery and an international active member of the American Society of Aesthetic Plastic Surgery.
He has undertaken 8-12 years of specialist training beyond his basic medical degree to become a Fellow of the Royal Australasian College of Surgeons (FRACS) which is the only institution accredited to train surgeons in Australia and New Zealand. He is the current Head of the Department of Plastic & Reconstructive Surgery at Westmead Private Hospital.
As a Sydney plastic surgeon Dr Tim focuses on cosmetic surgery of the face, breast and body.
Dr Tim is a certified cosmetic and plastic surgeon, past president of the Australasian Society of Aesthetic Plastic Surgery (ASAPS), a member of the Australian Society of Plastic Surgeons (ASPS) and a Fellow of the Royal Australasian College of Surgeons (FRACS). Tim is also an International member of the American Society of Plastic Surgeons. Dr Tim is a member and Board Director of the International Society of Aesthetic Plastic Surgery and an international active member of the American Society of Aesthetic Plastic Surgery.
He has undertaken 8-12 years of specialist training beyond his basic medical degree to become a Fellow of the Royal Australasian College of Surgeons (FRACS) which is the only institution accredited to train surgeons in Australia and New Zealand. He is the current Head of the Department of Plastic & Reconstructive Surgery at Westmead Private Hospital.
As a Sydney plastic surgeon Dr Tim focuses on cosmetic surgery of the face, breast and body.
Dr. Tim is a highly experienced specialist plastic surgeon known for his commitment to patient safety, advanced surgical techniques, and meticulous care. He prioritizes evidence-based procedures to deliver natural-looking, long-lasting results.
Precision
With an exceptional eye for detail and surgical expertise, Dr. Tim ensures every procedure—whether facelift, body contouring, or breast augmentation—is performed with precision, artistry, and the latest medical advancements.
Your Wellbeing & Comfort
Dr. Tim takes a patient-centered approach, guiding you from consultation to post-operative care. He provides personalised surgical plans to help you make informed decisions, ensuring your safety, comfort, and satisfaction throughout your cosmetic surgery journey.
Professional Integrity
As a specialist plastic surgeon, Dr. Tim is dedicated to excellence in aesthetic surgery. His contributions to medical education, training future surgeons, and speaking at global conferences reinforce his reputation as a leader in the field of cosmetic surgery.
Have Questions About Cosmetic Surgery?
Understanding your options is important. Our team is available to provide factual information about procedures and answer any concerns you may have. Book a consultation to receive professional advice tailored to your needs.
