What are the best methods to eliminate a富贵包?

Generally speaking, there is no such thing as the best method to eliminate a "富贵包" (a fatty hump at the base of the neck). A富贵包 refers to a hard, protruding lump at the junction of the seventh cervical vertebra and the first thoracic vertebra. It may be caused by prolonged forward head posture, incorrect sitting posture, insufficient neck warmth, obesity, cervical disc herniation, and other factors. Treatment options under medical guidance include liposuction, laser lipolysis, minimally invasive surgery, and medication. Specific analysis is as follows:

1. Prolonged低头 (Forward Head Posture)

Spending long periods looking down at electronic devices such as smartphones or tablets, or working or studying at a desk, can keep the cervical spine in a flexed position for extended durations, potentially leading to the development of a富贵包. It's important to avoid prolonged neck flexion; take regular breaks to lift the head and stretch the neck. Under medical supervision, liposuction may also be performed—making an incision in the neck-shoulder area to remove excess subcutaneous fat. The typical reference cost for liposuction is 3,000–8,000 RMB per session. Noticeable improvement usually occurs within 2–3 weeks, though potential side effects include infection, bleeding, and skin laxity.

2. Incorrect Sitting Posture

Poor sitting posture, such as slouching or shoulder shrugging, may increase stress on the cervical spine and accelerate the formation of a富贵包. It is recommended to maintain proper posture with a straight back and relaxed shoulders. Laser lipolysis may also be considered under a doctor’s advice, using laser energy to dissolve fat cells, which are then naturally metabolized and expelled from the body, thereby alleviating symptoms. The typical reference cost for laser lipolysis is 3,000–5,000 RMB per session, with visible results generally appearing after 1–2 months. However, possible adverse reactions include pigmentation and skin burns.

3. Insufficient Neck Warmth

Prolonged exposure of the neck to cold or wind may impair local blood circulation, contributing to the development of a富贵包. It is important to keep the neck warm and avoid cold exposure. Minimally invasive surgery may also be performed under medical guidance—making a small incision in the neck and using negative pressure to extract fatty tissue from the hump. The typical reference cost for minimally invasive surgery is 5,000–8,000 RMB per session, with improvement usually seen within 1–2 weeks. Possible complications include infection and bleeding.

4. Obesity

Obesity is primarily associated with genetic factors, high-calorie diets, and lack of physical activity. Excess fat accumulation in the neck and upper back can thicken subcutaneous tissue, potentially causing a富贵包. This condition is often accompanied by symptoms such as being overweight, reduced mobility, and breathing difficulties. Treatment under medical supervision may include medications such as Orlistat capsules, Liraglutide injection, or Metformin hydrochloride tablets.

5. Cervical Disc Herniation

Cervical disc herniation may result from prolonged forward head posture, neck trauma, or degenerative changes in the cervical spine. A herniated disc can compress nerve roots or the spinal cord, causing muscle tension and spasms in the neck, leading to the aforementioned symptoms. It may also be accompanied by pain and stiffness. Medications such as Gentongping Granules, Tramadol sustained-release tablets, or Cyclobenzaprine tablets may be used as directed by a physician.

Maintaining healthy lifestyle habits, avoiding prolonged neck flexion, and performing regular neck stretching exercises can help alleviate symptoms associated with a富贵包.