Top 6 Reasons for a Brazilian Butt Lift (BBL) Revision

A Brazilian butt lift (BBL) is a popular plastic surgery procedure designed to enhance the size and shape of your buttocks using your own body fat. This procedure involves fat grafting, a technique that harvests fat from other areas of your body through liposuction, purifies the fat and then injects it into your buttocks. The goal is to create a more full and voluptuous silhouette.

However, a BBL may not always lead to the desired outcome on the first attempt. Various factors can influence the final results, such as how your body heals and adapts to the transferred fat. A revision BBL becomes an option for those who seek adjustments or improvements from their initial surgery. This secondary procedure aims to refine the outcomes, correct any irregularities and achieve your envisioned aesthetic.

Here, we explore some of the most common reasons people seek BBL revisions and how our dedicated team can help you get the results you desire.

1. Inadequate Butt Volume

Sometimes, the initial BBL might not provide your desired volume or projection, even after the typical waiting period for the fat to integrate with your tissues. It takes about four months to fully see how much of the transferred fat survives the process, as the body naturally absorbs a portion of it. This period allows for a clear assessment of the permanent volume gained from the procedure.

If, after this time, the results fall short of the volume you were aiming for, revision BBL becomes a viable option. Factors such as the technique used, the amount of fat initially transferred and how your body individually responds to the fat grafting can influence the need for additional enhancements. A revision can strategically add more volume, fine-tuning the results to better match your aesthetic goals.

2. Asymmetrical Butt “Cheeks”

Nature rarely creates perfect symmetry, and even with the most skilled hands, achieving absolute balance can be challenging. Differences in healing, fat absorption or initial fat placement can lead to asymmetrical results. If your BBL results left you with noticeable asymmetry, a revision could be the key to harmonizing your silhouette. Using advanced techniques, we meticulously adjust volume and shape to achieve a more balanced and aesthetically pleasing outcome.

3. Buttocks Contour Irregularities

Butt contour irregularities post-BBL can significantly impact the overall aesthetic of your buttocks, leading to dissatisfaction with the outcomes of the initial procedure. These irregularities might manifest as unevenness, lumps or dips in the treated area, deviating from the smooth, rounded appearance desired from a Brazilian Butt Lift. Such issues can arise from uneven fat distribution, the body’s variable absorption of the transferred fat, or the initial positioning of fat injections.

A BBL revision specifically addresses these contour irregularities, aiming to smooth out uneven areas and create a more rounded buttock shape. During a revision, one of our board-certified surgeons can redistribute fat to fill in depressions or remove excess fat in areas of lumpiness, employing precision and a keen aesthetic eye to restore smooth contours.

4. Post-BBL Complications

Though rare, complications such as infections, poor healing or uneven fat absorption can occur after a BBL. If you face any health concerns or aesthetic complications from your previous surgery, it’s crucial to address these with a team that prioritizes your safety and satisfaction. At Pure Plastic Surgery, we combine medical expertise with aesthetic precision to correct complications and enhance your overall well-being and results.

5. Butt Volume Loss With Weight Loss

After a Brazilian butt lift procedure, the fat cells that integrate with the tissue during the initial months will remain there permanently. However, these cells, like all fat cells in the body, are subject to change in size based on weight fluctuations. Significant weight loss after a BBL can lead to a decrease in the volume of these cells, which may alter the size and shape of your butt. Your backside may lose some of its fullness and projection, diverging from the post-surgery results you first enjoyed.

In the event of noticeable volume loss, a revision BBL presents an opportunity to refine and adjust the contours of your buttocks. By customizing the revision to the specifics of your body’s response to weight loss, our skilled surgeons at Pure Plastic Surgery work to harmonize your buttocks with your overall physique to achieve renewed satisfaction with your body shape.

6. Changes in Preferred Butt Size

Your body and preferences can change over time. What once seemed like the perfect outcome might no longer align with your current aesthetic goals or lifestyle. Whether you’re seeking a more subtle look or want to further augment your derrière, a BBL revision can be tailored to suit your evolving desires and circumstances.

Choosing Pure Plastic Surgery for Your BBL Revision

Selecting the right team for your BBL revision is paramount. At Pure Plastic Surgery, we pride ourselves on our commitment to excellence, personalized care and transformative results.

Here’s why patients trust us for their BBL revision procedures:

  • Expertise and Experience: Our board-certified surgeons possess the specialized knowledge and experience required for successful BBL revisions. With a deep understanding of the nuances of the procedure, we are equipped to address complex cases and deliver superior outcomes.
  • Ultrasound Guidance for Safety: We use ultrasound imaging during BBL procedures, which enables our surgeons to precisely visualize the cannula and deposit the fat accurately between the skin and muscle, well clear of any blood vessels.
  • Customized Approach: We recognize that every patient is unique. That’s why we offer customized treatment plans designed to meet your specific goals and concerns. During your consultation, we take the time to listen to your needs, assess your situation and recommend the best course of action.
  • State-of-the-Art Facility: Our Miami clinic is equipped with the latest surgical technologies and amenities to promote your comfort and safety. From the initial consultation to post-operative care, you’ll experience the highest standard of service in a welcoming and supportive environment.
  • Patient-Centered Care: At the heart of our practice is a dedication to patient satisfaction. We believe in building lasting relationships based on transparency, trust and mutual respect. Our team is here to support you every step of the way to provide a smooth and positive revision journey.

Rediscover a Love for Your Backside With BBL Revision in Miami

If you’re contemplating a BBL revision, the first step is to schedule a consultation with our team. During this initial meeting, we’ll discuss your concerns, evaluate your previous surgery results and explore the possibilities for achieving your ideal outcome. Together, we can redefine your silhouette and help you embrace your body with confidence and joy.

Let Pure Plastic Surgery in Miami be your partner in perfecting your Brazilian butt lift. Contact us today to learn more!

Dr. S. Alexander Earle is an Ivy League-educated, double board-certified plastic surgeon with vast experience in both reconstructive and aesthetic surgery. He is certified by the American Board of Surgery and the American Board of Plastic Surgery. Dr. Earle is also the founder of Pure Plastic Surgery and the President of the World Association of Gluteal Surgeons.


Take the First Step. Schedule your consultation at Pure Plastic Surgery by filling out the form below and one of our knowledgeable staff members will reach out to you promptly.

You can also reach our Miami office directly by calling 305-900-5310. Pure Plastic Surgery serves patients in Kendall, Coral Gables, and throughout the Miami metro, as well as patients across the United States and internationally.




“I could not have picked a better doctor. Dr. Earle is a perfectionist and settles for nothing less than perfection. I am incredibly happy with my results.”* - Rosie

“Absolutely amazing! The entire journey has been great. The staff and customer care are exceptional! Best service I have ever received.”* - Destiny

“From start to finish they were nothing short of amazing! Amazing doctor and team! Great results and wouldn't trust another. I felt absolutely comfortable from the minute I met them and knew I was in good hands”* - Natasha


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