The most distressing feature of lipodystrophy, referred to as a “buffalo hump” condition, is the fat accumulation of the lower neck/upper midline back. This fat excess can extend even further up the posterior neck onto the back of the head and around the sides clear up to the ears. It can be severely immobilizing and profoundly unsightly. Buffalo Hump surgery is very common in Dr. Romano’s practice, and he has a special expertise in this procedure. His results are consistently attractive and natural.
There is a condition of excess fat accumulation in the back of the neck that is unusual and very disturbing to affected patients. It has become so common that I would like to dedicate this section to this problem.
It is sometimes referred to lipodystrophy. The fat accumulation is called a “buffalo hump” deformity. It occurs mostly in patients with HIV on antiviral medications, and it can be very dramatic. It can also be associated with chronic steroid use, such as in asthma patients. I see many affected patients and am very sympathetic to their extreme distress and desire to have the normal anatomy restored, wear a shirt that fits, and just be able to button their collar again. I would like to cure this for you.
Men and women alike can be affected by this issue. The most distressing feature is the fat accumulation of the lower neck/upper midline back. This fat excess can extend even further up the posterior neck onto the back of the head and around the sides clear up to the ears. It can be severely immobilizing and profoundly unsightly. The anatomy of this condition is just excess fatty accumulation for whatever the reason. But the problem is that the fat is in a hard area to liposuction and trapped in a lot of scar and fibrous tissue that does not allow the fat to come out easily. Even faced with these challenges, I am still able to obtain incredibly thorough and natural results based on how I position you, the use of ultrasonic liposuction, and other technical and device-related advances. Since this fatty area and all of its contents are essentially on the surface, the area is not closely related to muscle, tendon, bones, or other vital structures that hurt. Surgery involves a light general anesthetic and is performed where I do surgery, which is in a hospital setting. The surgery is safe and predictable. There is very mild swelling after surgery. There are only a few stitches, and you can return to work in as little as three to five days and to some physical exercise in the first week.
The surgical procedure and results that I obtain with liposuction of the buffalo hump are consistent and complete. They are successful because I use the correct equipment, have you in the right position, and have a large amount of experience with other patients like you.
Surgery to reduce the buffalo hump is very common in my practice. I have performed many of these procedures with consistently attractive and natural results. I have special expertise in this procedure and spend a great deal of time discussing your anatomy, listening to your expectations, and interpreting for you what your anatomy and body will safely and predictably allow me to do. In addition I build a system into every surgery that, initially, allows you to recover much more quickly and, secondly, preserves your surgical results. This system includes a special diet, vitamins, supplements, skin products, physical training, and knowing what to avoid. Together all of this allows me to create results that are consistently very beautiful, quick to heal, and exceptionally natural. I use minimal incisions. I am delighted to surgically provide you with such a profound body-image change, one that has so consistently pleased my patients and changed their lives.