BBL Revision
in Miami, FL

At Miami Aesthetic, we understand that some patients may seek a BBL revision after their initial surgery if they are unhappy with the shape, size, or symmetry of their results. Others may notice irregularities, uneven fat distribution, or changes over time due to weight fluctuations or natural aging. A BBL revision can address these concerns by refining contours, improving balance, and restoring confidence in your appearance. Our goal is to help patients achieve the outcome they originally envisioned with safe, personalized treatment in Miami, FL.

Dr. Pat Pazmiño, the inventor of the UltraBBL™, performs BBL revisions using his ultrasound-guided technique, which is now the gold standard in buttock augmentation. Our team delivers safer procedures and more precise results.

Table of Contents

What Is a Brazilian
Butt Lift Revision?

What is a Brazilian Butt Lift Revision?

A BBL revision is a secondary cosmetic surgery designed for patients who wish to improve or correct the results of a previous procedure. It focuses on adjusting areas where changes may have occurred over time, such as uneven contours, altered buttock volume, or irregular shape. Factors like weight gain, natural aging, or variations in healing can affect how the initial results settle, and a revision provides an opportunity to refine the overall outcome and restore a more balanced appearance.

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Before & After

Reasons for BBL Revision

Asymmetry

One of the most frequent concerns is that one side of the buttocks is noticeably different in size, shape, or projection from the other. This can be due to uneven fat distribution during the initial procedure.

Insufficient Volume

The body naturally absorbs a portion of the fat transferred during a BBL (typically 30-50%). If a patient’s body absorbs too much fat, the results may be smaller than they desired, requiring a “touch-up” to add more volume.

Irregular Contours or "Lumps and Bumps"

This can happen if the fat is not injected evenly or if some of the fat cells don’t survive, leading to a lumpy or dimpled appearance. This is often described as “rippling” or “irregular contouring.”

Undesirable Body Shape

The final shape may not be what the patient envisioned. This can include an overly “round” or “square” shape, an unnatural “ant deformity” (where the hips look too small and the buttocks too large), or a lack of definition.

Overfilled or "Too Big" Results

In some cases, a patient may feel that the final result is too large or disproportionate to their body frame, especially after post-op swelling has subsided.

Visible Scars

Although BBL incisions are typically small, poor healing or surgical technique can lead to prominent scars that the patient wishes to have corrected.

Our Ultrasound-
Guided Technique

Our ultrasound-guided technique sets a new standard in safety and precision for secondary BBL procedures. Ultrasound-guided revision BBL differs from traditional methods by allowing Dr. Pazmiño to see exactly where the fat is being placed in real time, reducing risks and ensuring smoother, more natural contours. This advanced approach also enhances fat survival, as only the purest fat cells are carefully harvested, processed, and transferred to achieve lasting results. By combining innovation with artistry, our approach enables patients to achieve the refined outcome they envisioned, while prioritizing both safety and aesthetics.

Your Initial Consultation

Your initial consultation is a crucial step in planning your BBL revision. During this visit, Dr. Pazmiño will take the time to understand your goals and review your medical history in detail to ensure the safest approach. He may also request medical clearance from your primary care provider or a specialist to confirm that you are healthy enough for surgery. This thorough evaluation enables our team to design a personalized treatment plan tailored to your specific needs and to establish realistic expectations for your results.

BBL Revision
Procedure

1. Anesthesia

A BBL revision is typically performed under general anesthesia to ensure patient comfort throughout the surgery. Before the procedure begins, patients will undergo anesthesia so they remain fully relaxed and pain-free. We provide a safe environment and careful monitoring.

2. Incisions

To begin the revision process, Dr. Pazmiño makes small incisions in discreet locations. These entry points allow him to access the treatment areas with precision and minimize visible scarring. By keeping the incisions as minimal as possible, the procedure aims to achieve natural-looking results and a smooth recovery.

3. Fat Removal and Refinement

In cases where the previous procedure left uneven results or areas of over-projection, Dr. Pazmiño carefully removes excess fat using specialized thin tubes known as cannulas. This process helps refine the contours, smooth out irregularities, and create a more proportional appearance. The use of advanced techniques ensures the surrounding tissues are preserved while addressing stubborn fat that may have impacted the original outcome.

4. Addressing Scar Tissue

Some patients develop scar tissue after their initial surgery, which can affect both the feel and the look of the buttocks. During revision, Dr. Pazmiño works to release or adjust these areas of scar tissue so the new fat can settle more evenly. This step is crucial for achieving softer, more natural contours and minimizing any irregularities from the initial procedure.

5. Fat Transfer for Desired Shape

After refining and preparing the area, Dr. Pazmiño reinjects purified fat into the buttocks to enhance projection and achieve the patient’s desired shape. The fat is strategically placed in layers to promote better survival of the transferred cells and create balanced, smooth results. His ultrasound-guided technique enables precise placement, allowing for the restoration of symmetry and an overall improved contour.

6. Completion

Once the fat transfer is finished and the contours have been refined, Dr. Pazmiño carefully closes the small incisions. He then ensures that the overall proportions are balanced and the buttocks reflect the patient’s desired shape. At this stage, dressings or compression garments may be applied to support healing and help maintain the new contour. This final step completes the revision process and sets the foundation for long-lasting results.

Add-On Procedures

Thigh Lift

A thigh lift targets areas of excess skin on the inner or outer thighs to create a smoother, more toned appearance. This procedure can be combined with a BBL revision to enhance overall body contour and proportion.

Tummy Tuck

A tummy tuck addresses sagging skin and weakened abdominal muscles to achieve a flatter, firmer belly. When paired with a BBL revision, it helps create a balanced and harmonious silhouette.

Recovery & Post-Operative Care

First 24 Hours

Patients return home the same day after their BBL revision and begin the recovery period in the comfort of their own home. During this time, it is crucial to follow all post-operative instructions from Dr. Pazmiño, including wound care and wearing a compression garment to support healing and minimize swelling. Patients should avoid applying direct pressure to the buttocks and perform gentle movements to promote circulation.

Week 1

During the first week of the recovery process, patients continue wearing their compression garment and adhering closely to the surgeon’s instructions. Light activity is encouraged to promote circulation and reduce swelling, while avoiding prolonged sitting or any direct pressure on the buttocks. Most patients attend follow-up appointments during this period to ensure proper healing and address any concerns.

Weeks 2 to 4

In weeks two through four, swelling begins to decrease, and patients can gradually resume normal activities while still taking care to protect the treated areas. Following post-operative instructions and attending follow-up appointments helps prevent complications, such as blood clots, and supports the desired outcome.

Weeks 4 to 6

By weeks four to six, patients often notice significant improvements in comfort and contour. Continued adherence to wound care, wearing the compression garment as recommended, and avoiding pressure on the buttocks are crucial for supporting healing and achieving optimal results.

Beyond Six Weeks

After six weeks, most patients can resume regular activities without restrictions. Follow-up appointments allow Dr. Pazmiño to evaluate the recovery process and confirm that the desired outcome is being achieved. Maintaining proper care and following the surgeon’s instructions during this period is crucial for long-term success. Complete recovery may take up to 12 months.

Candidates for BBL
Revision Surgery

Patients who are considering a BBL revision typically seek improvements after their initial procedure or want to refine their overall contour. A thorough consultation helps determine if a patient is a good candidate based on health, goals, and body characteristics. Here are the common groups of candidates for BBL revision:

Individuals who have undergone an initial Brazilian butt lift and are dissatisfied with the results.

Patients with uneven fat distribution or loss of body fat over time.

Those with sufficient body fat for fat harvesting and transfer.

Candidates with good skin elasticity to support smooth contouring.

Patients who have maintained a stable weight for several months before surgery.

Individuals with realistic expectations about the outcome and recovery process.

Those in good overall health without conditions that could impair healing.

Benefits of BBL Revision

Patients often consider BBL revision when they want to refine results or address issues from a previous surgery. The procedure is designed to improve outcomes safely and efficiently, using advanced techniques for precision and comfort.

Corrects asymmetry or irregular contours from a previous surgery

Enhances the overall shape and proportion of the buttocks

Adds or restores volume where needed

Smooths lumps or bumps for a more even appearance

Uses minimally invasive techniques for safer fat transfer

Reduces visible scarring and improves skin texture

Provides long-lasting, natural-looking results

Cost of BBL Revision in Miami, FL

The cost of BBL revisions in Miami ranges from $8,000 to $15,000, depending on the complexity of the procedure and the specific techniques required. Factors that influence the price include the amount of fat to be transferred, the need to address scar tissue or irregular contours, and whether additional procedures like a tummy tuck or thigh lift are performed at the same time.

The final cost may vary based on individual goals and the scope of the revision. You will receive an exact price during a consultation with our specialists, where your treatment plan will be carefully tailored to achieve the best possible outcome.

What Makes Our BBL Revisions
Different From Others?

Dr. Pat Pazmiño is a board-certified plastic surgeon who brings extensive experience and precision to every procedure. Our BBL revisions stand out because of the ultrasound-guided technique, which allows for real-time visualization and safer placement of fat during Brazilian butt lift procedures. In addition, Dr. Pazmiño’s advanced fat removal technique ensures smoother contours and more natural results. This combination of professionalism and innovative technology consistently enhances patient satisfaction, helping individuals achieve the shape and balance they envisioned.

Frequently Asked Questions (FAQs)

When can I return to normal activities after BBL revision?

Most patients can gradually resume normal activities within two to four weeks following their BBL procedure. It is important to follow Dr. Pazmiño’s post-operative instructions carefully, avoid direct pressure on the buttocks, and use compression garments as recommended to support healing and achieve the best results.

Is a secondary fat transfer risky?

As with any surgical procedure, there are potential risks associated with a secondary fat transfer, including fat necrosis or uneven contours. However, Dr. Pazmiño prioritizes patient safety by using advanced techniques and careful monitoring to minimize complications and optimize outcomes.

What percentage of fat cells survive after a revision BBL?

The survival of transferred fat cells can vary, but using advanced techniques, Dr. Pazmiño maximizes fat viability to achieve long-lasting and natural-looking results. Proper placement, handling, and the ultrasound-guided method all contribute to higher fat retention rates.

Do you offer free consultations?

The cost of the consultation is included in the procedure price, so patients do not pay extra for the initial visit. During this appointment, our specialists provide a thorough evaluation, discuss goals, and create a personalized treatment plan.

BBL Revision in Miami, FL

What Is a Brazilian Butt Lift Revision?