One-Shot Federated Learning (OSFL), a special decentralized machine learning paradigm, has recently gained significant attention. OSFL requires only a single round of client data or model upload, which reduces communication costs and mitigates privacy threats compared to traditional FL. Despite these promising prospects, existing methods face challenges due to client data heterogeneity and limited data quantity when applied to real-world OSFL systems. Recently, Latent Diffusion Models (LDM) have shown remarkable advancements in synthesizing high-quality images through pretraining on large-scale datasets, thereby presenting a potential solution to overcome these issues. However, directly applying pretrained LDM to heterogeneous OSFL results in significant distribution shifts in synthetic data, leading to performance degradation in classification models trained on such data. This issue is particularly pronounced in rare domains, such as medical imaging, which are underrepresented in LDM's pretraining data. To address this challenge, we propose Federated Bi-Level Personalization (FedBiP), which personalizes the pretrained LDM at both instance-level and concept-level. Hereby, FedBiP synthesizes images following the client's local data distribution without compromising the privacy regulations. FedBiP is also the first approach to simultaneously address feature space heterogeneity and client data scarcity in OSFL. Our method is validated through extensive experiments on three OSFL benchmarks with feature space heterogeneity, as well as on challenging medical and satellite image datasets with label heterogeneity. The results demonstrate the effectiveness of FedBiP, which substantially outperforms other OSFL methods.