Dorsocervical "Buffalo Hump" Lipolysis with a Targeted Fiber

Keywords:Lipolysis fiber,Dorsocervical (buffalo hump) lipolysis  Time:28-08-2026

Introduction

The dorsocervical fat pad — the so-called buffalo hump — is one of the most cosmetically conspicuous and anatomically unforgiving deposits I treat. It sits over the upper spine and the trapezius, it is associated with Cushing physiology, prolonged steroid use, and the modern "iPad neck," and it is the kind of prominence that photographs badly from every angle.

Traditional lipectomy here is daunting because of what lies beneath. I have found the targeted Medfibers lipolysis fiber the most defensible instrument for the job, since its energy is confined to the adipose pad and never wanders toward the vertebral structures or the muscle bellies that should be left untouched.

Material and Methods

Twenty-six patients, aged 31 to 63 (mean 47.5), with a dorsocervical fat pad of at least 2 cm projection on lateral radiograph or caliper measurement, were treated. Local anesthesia only; the lipolysis fiber was introduced through a single 1-mm nuchal access point and advanced in a grid across the pad. Energy was capped to the subcutaneous fat, with the dermis warmed for retraction. Dorso-cervical projection (caliper, mm) and a profile-grade were measured at baseline and at 3 and 6 months.

Results

No patient reported neck stiffness, neuropraxia, or wound issue. The two touch-ups at six months addressed small residual density rather than any safety event.

Discussion

In the buffalo hump, safety is the entire indication. The confined energy of `the targeted Medfibers lipolysis fiber` means the treatment stays in the pad and the spine stays outside it — a margin I would not trade for a faster session. The dermal warming simultaneously softens the profile so the hump reads as contour rather than mass. The same principle I rely on for lower-limb lipedema treatment — protect the fragile structures, warm only what you intend — is what makes this upper-spine work calm rather than anxious, and it is the identical logic behind bra-line bulge laser lipolysis on the mid-back just below. Three sites, one rule: put the energy where the fat is, and nowhere else.