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J Plast Reconstr Aesthet Surg. 2009 Jul;62(7):946-9. doi: 10.1016/j.bjps.2007.10.086. Epub 2008 May 9.

Buffalo hump in HIV patients: surgical management with liposuction.

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  • 1Division of General and Plastic Surgery, Geisinger Medical Center, Danville, PA, USA.


Although lipohypertrophy has been reported in as many as 41% of patients with HIV, buffalo hump or cervical lipomatosis has been reported in only 1-2% of patients. There is no definitive medical treatment for this disabling condition. Few case series describing the role of liposuction in buffalo lump treatment have been published, with variable short-term and long-term results. We describe our experience in two patients, with a brief review of the literature.

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