BBL Revision in Newport Beach & Upland


Refine and perfect your curves with BBL revision surgery. This specialized procedure corrects concerns from a previous Brazilian Butt Lift, whether addressing asymmetry, contour irregularities, or achieving your desired aesthetic through expert, natural reshaping and enhancement.

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Leland Stanford University
American Society of Plastic Surgeons
American Board of Plastic Surgery

About BBL Revision

What is a BBL revision surgery?

A BBL revision (Brazilian Butt Lift revision) is a secondary cosmetic surgery procedure designed to correct, improve, or refine the results of a previous Brazilian Butt Lift. This procedure addresses a variety of concerns including asymmetry, uneven fat distribution, insufficient or excessive volume, contour irregularities, or complications from the initial surgery. Unlike a primary BBL that focuses on enhancement, revision surgery emphasizes correction and refinement to achieve balanced, natural-looking results.

BBL revision can involve strategic fat grafting to add volume where needed, precise liposuction to remove excess fat and smooth contours, or reshaping the buttocks to improve projection and symmetry. The procedure requires advanced surgical expertise, as the surgeon must work with existing scar tissue from the previous surgery while achieving optimal aesthetic outcomes. Whether you're seeking subtle adjustments or more significant corrections, a BBL revision offers a path to the beautiful, confident results you deserve.

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BBL Revision candidacy

Am I a good candidate for a BBL revision?

The best candidates for BBL revision are individuals who have previously undergone a Brazilian Butt Lift and are dissatisfied with their results or have experienced complications. You may be an ideal candidate if you're concerned about asymmetry, uneven fat distribution, contour irregularities, loss of volume over time, excessive volume, or visible lumps caused by fat necrosis. The best outcomes are achieved when patients wait at least six months to one year after their initial surgery before pursuing revision.

At your initial consultation, we will review your medical history, examine your current results, discuss your aesthetic goals, and determine if you are a good candidate for BBL revision surgery.

WITH A BBL REVISION, WE CAN ADDRESS:

  • Asymmetry or uneven appearance of the buttocks

  • Insufficient volume or loss of projection over time

  • Excessive volume that appears disproportionate

  • Contour irregularities, divots, or visible lumps

  • Uneven fat distribution from the initial procedure

  • Hip dips that weren't adequately addressed

About BBL Revision Techniques

Techniques used in BBL revision procedures

BBL revision surgery requires advanced surgical techniques and expertise to navigate the complexities of scar tissue from your previous procedure while achieving beautiful, natural results. We use a combination of sophisticated liposuction and fat grafting methods tailored to your specific needs. Dr. Nykiel will determine which techniques are most appropriate during your consultation, potentially including:

Tumescent solution contains lidocaine and epinephrine to reduce pain and blood loss during the revision procedure. This medicated solution makes the surgical process safer and more comfortable.

VASER liposuction uses ultrasonic technology to break through scar tissue and gently extract fat from donor areas. This advanced technique is particularly valuable in revision cases, as it can remove up to 40% more fat than traditional methods while working effectively through scarred tissue. VASER also improves fat cell viability, with survival rates reaching up to 90%, which is crucial for successful fat transfer in revision procedures.

Power-assisted liposuction with MicroAire provides enhanced precision when removing excess fat or smoothing contour irregularities. This technique is especially useful for addressing uneven areas and achieving symmetry in revision cases.

After addressing fat removal and transfer, we may use Renuvion technology to tighten skin and soft tissues for a smoother, more refined appearance. This final step enhances overall contour and ensures optimal aesthetic results.

Expectations

What to expect throughout your BBL revision procedure

BBL revision surgery is typically performed under general anesthesia to ensure your complete comfort. The specific surgical approach depends on your individual needs and goals. If you require additional volume, we will use liposuction to carefully harvest fat from areas such as the abdomen, flanks, thighs, or back. The harvested fat is then purified using advanced processing techniques to maximize fat cell survival and ensure the best possible results.

Dr. Nykiel will strategically inject the purified fat into specific areas of the buttocks to correct asymmetry, add volume, improve projection, or fill contour irregularities. If you have excessive volume or need reshaping, precise liposuction techniques will be used to remove fat and sculpt the buttocks into a more balanced, aesthetically pleasing shape. Special attention is given to creating smooth, even contours and addressing any concerns from your previous surgery. The procedure typically takes two to four hours, though complex revisions may require additional time.

BBL Revision recovery

Results and recovery process

Recovery from BBL revision is similar to recovery from a primary BBL. The initial recovery process typically spans two to three weeks, during which you'll need to avoid sitting or lying directly on your buttocks. This is needed to protect the newly transferred or reshaped fat and ensure optimal results. Between two to six weeks post-surgery, you may sit with a BBL pillow. You'll be able to sit normally after about eight weeks.

Pain is typically manageable and most patients transition off prescription pain medications within a few days after surgery, using over-the-counter options as needed. You may need to wear a compression garment for six weeks to three months after your revision to reduce swelling, support proper healing, and help your skin retract smoothly.

Most patients return to work within one to two weeks, depending on the nature of their job. Strenuous activities and lower body exercises should be avoided for at least six weeks. It's important to note that revision surgery does carry a higher risk of swelling and bruising compared to primary BBL due to the presence of scar tissue, but these effects are temporary.

Final results are typically visible within three to six months, once all residual swelling has resolved and transferred fat has fully stabilized. The goal of revision surgery is to create balanced, natural-looking results that align with your aesthetic vision.

About us

Why choose SoCal Plastic Surgeons for your BBL revision?

When you choose SoCal Plastic Surgeons for BBL revision, you're trusting your results to Southern California's most skilled body sculptors who specialize in complex revision procedures. Dr. Nykiel is considered one of the best hourglass body sculptors in the world, with extensive experience in both primary and revision BBL surgery. His reputation has been built on achieving stunning, natural-looking results through artistry, precision, and advanced surgical techniques.

BBL revision requires a higher level of expertise than primary surgery due to the challenges of working with scar tissue, altered anatomy, and the need for refined correction. Dr. Nykiel's mastery of advanced fat grafting techniques, including ultrasound-assisted liposuction, ensures optimal fat survival rates and beautiful outcomes even in complex revision cases. Many patients travel from near and far to seek his expertise in our state-of-the-art facilities in Newport Beach and Upland.

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BBL Revision cost

How much does a BBL revision surgery cost?

The cost of BBL revision reflects the specialized nature of the procedure and the advanced expertise required to achieve optimal results. Revision surgery is more technically complex than a primary BBL because your surgeon must navigate scar tissue from the initial procedure while performing precise corrections. The final cost depends on several factors including the extent of revision needed, whether additional fat grafting or liposuction is required, the number of areas being treated, and whether complementary procedures are performed.

During your consultation, we will assess your specific situation, discuss your aesthetic objectives, create a detailed surgical plan, and provide you with a transparent cost estimate.

Insurance coverage for a BBL revision

Insurance will typically not cover BBL revision surgery because it is considered cosmetic and not medically necessary, even when addressing complications from a previous procedure. We offer financing options to help patients pay for their revision surgery, which we can discuss with you during your consultation.

WE OFFER A HOST OF AFFORDABLE FINANCING OPTIONS



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Frequently Asked Questions

Most surgeons recommend waiting at least six months to one year after your initial BBL before pursuing revision surgery. This waiting period allows all swelling to resolve, transferred fat to stabilize, and your final results to become fully apparent. Rushing into revision too soon can lead to unnecessary procedures, as your body may still be healing and settling from the first surgery.

Common reasons include dissatisfaction with size or shape, asymmetry or uneven results, loss of volume over time, excessive volume that looks disproportionate, contour irregularities or visible lumps, fat necrosis (hardened areas where fat didn't survive), complications from the initial procedure, or significant weight changes that altered your original results.

BBL revision is a more technically complex procedure due to scar tissue from your initial surgery, which can make fat harvesting and transfer more challenging. However, when performed by an experienced, board-certified plastic surgeon who specializes in revision procedures, BBL revision can be performed safely with excellent outcomes. Choosing a skilled surgeon, like Dr. Nykiel, who uses advanced techniques significantly reduces risks and improves results.

Most patients can return to work within one to two weeks and resume light activities during this time. You'll need to avoid sitting directly on your buttocks for two to three weeks and use a BBL pillow for several weeks after that. Lower body exercises can typically be resumed after six weeks. Complete healing and final results are usually visible around three to six months post-surgery.

This depends on your body composition and how much fat was removed during your initial surgery. Many patients have adequate fat reserves for revision, and advanced techniques like VASER or ultrasound-assisted liposuction can extract fat more effectively from areas with scar tissue. During your consultation, your surgeon will assess available donor sites and discuss whether you have sufficient fat for your desired revision. In rare cases where fat is insufficient, alternative options may be considered.

Yes, BBL revision may help address fat necrosis, which occurs when some transferred fat cells don't survive and form firm lumps or areas of hardness. Your surgeon can remove these areas and, if desired, transfer new fat to create smoother, more even contours.

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Are you ready to take the first step in your transformation?

We’re happy to answer your questions and provide more information to guide you on your journey during your private consultation.

If you’re interested in traveling to Newport Beach or Upland for surgery with Dr. Nykiel, we offer virtual consultations for your convenience.

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