Revision BBL Spotlight: Redo BBL, Rib Remodeling & Custom Implants

In this Surgical Spotlight, we present a highly complex revision BBL case. This patient had already undergone two previous BBLs elsewhere, resulting in a very large, “baroque” buttock volume but a square, unsculpted silhouette. As is common in revision work, we were facing extensive prior liposuction, deep fibrosis and very limited usable fat.

To transform this starting point into a truly sculpted figure, we combined three advanced techniques: a redo BBL, rib remodeling to refine the waist, and custom buttock implants to restore projection and shape in a controlled, predictable way.

Why Revision BBL Cases Are So Challenging

• Multiple previous surgeries: 2+ prior BBLs with aggressive fat manipulation.
• Deep fibrosis: scarring and tissue stiffness that make shaping and fat placement more difficult.
• Limited donor fat: little to no usable fat left after previous liposuction sessions.
• Distorted proportions: large buttock volume but a square torso and insufficient waist definition.

Our Combined Approach in This Case

• Redo BBL: careful fat harvesting from remaining donor areas and strategic re-grafting to refine contour rather than just add volume.
• Rib remodeling: targeted remodeling of the lower rib arc to narrow the waist and improve the waist-to-hip balance.
• Custom buttock implants: bespoke implants to provide a stable, predictable core of projection where fat alone was insufficient.
• 3D contour integration: blending implants, fat and waist work to create a smooth, continuous, sculpted silhouette.

The Result

The transformation is intentionally dramatic: a move from an overfilled but unshaped backside to a sculpted, hourglass silhouette with defined waist, enhanced hip curve and controlled, elegant projection. Instead of chasing size alone, the focus is on shape, proportion and balance.

Who Is This For?

Complex revision strategies like this are reserved for patients who:

• Have had one or more BBLs elsewhere with unsatisfactory shape or proportions.
• Show fibrosis and limited remaining donor fat.
• Are seeking shape correction and harmony rather than simply “more volume”.
• Understand that revision work is more complex and requires a highly specialised team.

Expectations, Safety & Recovery

• Safety first: all procedures are performed in a full hospital environment with experienced anaesthesia and nursing teams.
• Realistic goals: revision surgery is about improvement, not perfection; tissue history sets the limits.
• Recovery: compression garments, protection of grafted and implant areas, and a gradual return to activity are essential.
• Timeline: swelling settles and tissues adapt over 3–6 months, with the shape continuing to refine.

Educational notice: This case is for educational purposes and does not replace an in-person consultation or personalised surgical plan. Outcomes vary according to anatomy, tissue quality and surgical history.