Liposuction or surgical excision for a buffalo hump: which is better?

Generally, the choice between liposuction and surgical excision for a "富贵包" (buffalo hump) depends on the main composition of the hump. If the hump is primarily composed of adipose tissue, liposuction is more appropriate. However, if it contains significant fibrous tissue or is closely related to cervical spine structures, surgical excision is more suitable. Detailed analysis is as follows:

If the "富贵包" is mainly formed by fat accumulation, with a soft texture and no obvious fibrous nodules, liposuction is the preferred method. Liposuction involves removing excess fat through a minimally invasive needle, resulting in less trauma, faster recovery, minimal scarring, and effective improvement in the appearance of the hump with relatively less damage to surrounding tissues.

If the "富贵包" contains a high amount of fibrous tissue, feels hard in texture, or is associated with cervical facet joint hyperplasia or ligament thickening, simple liposuction may not adequately remove the lesion, and surgical excision is required. Surgery allows direct removal of the hyperplastic fat, fibrous tissue, and abnormal structures, providing a more thorough improvement.

In daily life, posture adjustment can help prevent worsening of the hump, such as maintaining an upright head and chest position and avoiding prolonged periods of looking down at phones or computers. Appropriate neck stretching exercises can also help relax neck muscles and improve local blood circulation.