I no longer have access to the episode, but I did watch that bit twice because I wrote about it, and I'm pretty sure that she'd had the implants removed; she still had a lot of scar tissue but she wanted her butt built up again; they told her the best they could do was a butt lift (and no more putting foreign objects/substances in the area), and after some talk about her body dysmorphia and whether she could have therapy and come to terms with "just" a butt lift, she left.