Justin Jedica, who has been dubbed 'Human Ken doll' has paid $21,000 to replace his back Implants - bringing his total plastic surgery costs to more than $500,000.
Justin 36, since his transformation, has had more than 550 cosmetic procedures, including bicep surgeries, bum implants and five nose jobs.
His latest surgery saw him get a 'wing' implants that was inserted below his shoulder blades in 2015 replaced with a smaller version.
Justin, who custom-designed the implants, also had a vein in his forehead removed.
This surgery cost Justin $21,000 (£16,000) - bringing his grand total spent on his body to $560,000 (£426,000).
Jedlica speaking about the procedure said: 'For me I look at this as being an art form. With my implant design and body modifications it's much more about making myself exceptionally different from anyone else.
'I had my first latissimus procedure about two years ago and I was the first person in the world to ever embark on an augmentation to their back.