The procedure to minimize the fat on the areas of the upper back, neck and armpits would be the use of liposuction. Liposuction may be performed on any part of the body including the upper back, under the armpits and the area so called the “buffalo hump,” providing that there is not a lot of laxity of skin present. On liposuction of the underarms, one also has to consider the possibility of swollen sweat glands in which case it has to be corrected properly by surgery. Liposuction of the upper back including the area of the shoulder blades and the buffalo hump may necessitate the use of the ultrasound system.