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Oh yeah. I'm 3.5 years out and the honeymoon has long been over. If I weren't extremely careful about what I eat, it would be terrifyingly easy to fall off the wagon and jump on the regain train. The surgery still helps, for sure; even when I eat too much, I think back to how much I would have eaten before the surgery and realize that my overindulgence now pales in comparison. But it still takes a lot of effort and attention to maintain my weight. My first recommendation for you is to get back on the scale and see exactly where you stand. No matter how much you've regained, stepping on the scale isn't going to change it. Believe me, I understand not wanting to know (take it from someone who did not own a scale for over a decade before my surgery), but staying in denial will only make things worse. I found a fantastic podcast called "We Only Look Thin," hosted by a husband and wife who each lost over 100 pounds. They did NOT have WLS, but they have so much insight and advice. They address a lot of the things that you worry about, so if you are open to listening to podcasts, I highly recommend this one.

Thank You!

Choosing a surgeon and Days 1-3 It's Sunday night and my surgery was Friday morning (1/12/24). My gastric sleeve was 3/24/23. I lost almost half the weight before my Gastric Sleeve surgery. I chose to have my surgery in Tijuana, Mexico because of the cost and I have a friend who lives about 45 minutes away in Mexico and my father lives about 2 hours away. I started my research reading about medical tourism in general to get advice on what to look for and what questions to ask. I started my search with Realself.com and chose surgeons with 4+ stars,10 or more years experience, and who said they were part of the American Board of Plastic Surgeons or the American or International Societies of Aestetic Plastic Surgeons. I read all the reviews I could find, noting all the bad things said, and verified they were actually listed on the board or society sites. One of them wasn't. I made virtual appointments with 3 and chose Dr. Rodolfo Casillo Calderon, who is listed on both the American and International Societies. He originally told me I had to wait until a year after my surgery, but I reached my goal and my weight stabilized in early October so I was able to move the date up. I uploaded a bunch of pictures to myTouchMD and when we did our call he explained in detail what he would do, complete with drawings on my pictures. He explained possible problems and what could be included in my package and that I would have a patient coordinator to walk me through it and answer questions. I had told him I wanted a 360, breast lift with gummy implants, and a BBL (i've always had dents in my butt and got called board butt in high school). He told me he didn't think I had enough fat in the area he was working for a BBL, especially since some of the transferred fat would die, but he would see what he could do. I asked for the best medicine package and told them I didn't need transportation to/from the airport since my dad and friend would provide that). I also told him in the future, I wanted my inner thighs, maybe my arms if I could get a good price at the same time and a face-lift. He told me that was too much to do in one surgery, that the face-lift would be one and the thighs and arms another, and they had to be at least 6 months apart. He sent me a quote for the 360, breast lift with implants and lipo and said it included the mons reduction and lift but not the BBL. The quote included the surgery, labs, cardiology evaluation, compression garments, meds, hospital stay of 1 night, and 6 nights in a recovery home that has 24/7 nursing staff and food. $12,699. I paid a 20% deposit and paid the balance during my pre-op lab appointment. I also filled out paperwork and met my coordinator. When I talked to Dr. Castillo in person, he took the pre-op pictures and told me again that he didn't think I had enough fat for a BBL, but he would see what he could do. I was disappointed, but trusted his judgment. I woke up after surgery in recovery, and they took me to a room and bolstered me well with pillows. I had a catheter, so I didn't have to move. My right toes felt numb and I couldn't feel my left toes, The nurse said it was from the anesthesia and would wear off and it did. I could feel and move my toes again. I had good service ar CER Hospial and spent the evening eating, drinking and watching TV. I asked for a snack and they got me some crackers (the cafeteria was closed and I didn't want jello). The next morning (Saturday) Dr. Castillo came in and talked about my surgery. He put 320cc in my right breast and 240 in my left and explained it would take a while for them to drop. He also told me he did a little fat transfer to my butt and gave me instructions to reduce death of the fat and stressed that there wasn't enough fat for a ful BBL, but he did what he could and it mostly came from my hips. Then his nurse came in and gave me my meds and instructions for aftercare. My patient coordinator from his office also came in and told me I'd get picked up by Casa by Linda's driver at about noon and asked if I have any questions. Shortly before noon they took my catheter and IV out and the nurse helped me sit up and helped put the compression garments on me, then I got dressed. The drive was a bit scary. The driver said it was like driving in New York with people pulling out and changing lanes without enough room. He told me interesting stuff about Tijuana and prohibition, how the margarita came to be made, and about Rita Hayword's history, getting discovered, and changing her name. I was helped out of the car and to my room, which has a queen hospital bed. The head was inclined and my space was pre-padded. I got in bed and they explained the remote and how to call them and asked if I had questions, needed anything, and if I was hungry. They brought me lunch and my friend came with my backpack and snacks. I was able to get out of bed and put my stuff away. My laptop, tablet, and snacks are all in reach. Sitting up is the most painful. Lying down in my nest of pillows is not as painful, but hurts pretty bad. To get up, I put the foot of the bed down, the head up, and roll to the side, then use my arm to push myself up. To get back in bed, I get on the bed on my knees and position my knee at the far side of my nest, then lower myself sideways and roll into the in the nest. My breasts aren't hurting at all. The compression garments has an open crotch, so you don't have to mess with it to go to the bathroom. The staff here respond quickly to requests and bring me my antibiotics and pain meds, and so far the pain is tolerable and I've been able to walk. You walk hunched over and slow. Linda has come in several times to check on me and see if I need anything. She is originally from Canada and is a US citizen, married to a local. This morning, after breakfast, I took a shower. One of the staff helped me with my compression garments (it hooks down both sides) and got the water ready. There is a seat in the shower with the shower head within reach. I hosed myself down and she handed me a washcloth and put soap on it. I didn't have to ask her for help as I was able to bring my legs up to wash them (it wasn'teasy). After I rinced myself off, she put antiseptic on gause and applied it to my incisions. I dried myself and got into bed to wait for the return of my compression garments (they washed the blood out). When she returned with my compression garments, she put gause in my new belly button and over the incisions in the back that had bled, then she helped me hook the garments up, putting a square of gause over my nipples. Nothing else to report. Unlike Friday and Saturday, I slept most of the day.

I am about to turn 57 and had my surgery almost 23 years ago. I have given birth to three children and stayed thin the whole time. I started at 250 and settled at 125 ( I’m 5’4.5” and that made me a size 0 or a 2) When I was done having my last child I settled back at 155, still wildly successful. When I entered into perimenopause, it became a fight to keep my weight off and I kept fighting. And then now through full-blown menopause two years since I’ve had menstruation, I’m almost as big as I was when I started. I’m wondering if there’s any help in this situation. Any doctors who will look at a revision I guess or make some practical suggestions. I have changed my eating, habits a dozen different ways to try and bring everything down but it’s like it was before, the weight loss is nearly impossible. I can get it down sometimes but then it comes back and it never goes down more than 30 or 40 pounds. I regularly get my hormones checked and I’m on progesterone and testosterone. My estrogen is always fine or even high. Looking for optimistic ideas. Thank you in advance for your suggestions.

Here’s my story. On 4/25/22 I weighed 281.8. A few months later at a Dr appointment for reflux the topic of having endoscopic gastroplasty was mentioned and eventually the surgery was scheduled for September 2022. I reported for the surgery and was going thru the pre-op process when our son called to let us know that he tested positive for COVID. The doctor advised us to reschedule. The next opening was a couple of months off, so it was rescheduled. I reported for the rescheduled surgery but after at check-in we were greeted with the news that the ventilation system for the operating room was down and we would have to reschedule again. This pushed us into 2023 and required navigating a new health insurance provider. Finally On 1/24/2023 I had my surgery and by 5/1/2023 my weight had dropped to 224 then “stabilizing” at around 235. 2023 had lots of ups and downs: - 4/25/2022 – weight 281.8 – bmi 38.2 - 1/23/2023 my last coke have gone over 1 year without a coke. Was typically drinking 1 – 2 20 oz bottles per day of regular coke. - 1/24/2023 - surgery. - 3/31/23 got laid off from work. - 4/6/2023 – robotic hernia surgery - 4/26/2023 – kidney stones - 5/1/2023 – weight 224 – bmi 30.3 - 7/11/2023 – procedure to evaluate hiatal herniaI - 1/18/2024 - COVID. - 1/25/2024 - big disagreement with boss and resigned. - 1/29/2024 - received ontingent job offer but significant pay cut. Job won't start for a month so I have time to think abiut job or seek other opportunities. - 1/30/2024 - weight 234.4 – bmi 31.7 Things to work on: - Eat better and exercise long term. I’ll do ok eating and exercising for a week or two and then I start stress eating, not feeling like walking. - Eating – there are times when I don’t feel hungry but want something to eat. - Regularity – I’ve always been irregular and at times have IBS with uncontrollable BM and then other times go days ( 3 – 4 days) between BM. - I have a goal of going on a couple of long bike rides 10 -15 miles but need to start getting in shape for them. - Decide to retire or find new job. - I rarely feel full. I think that I’m eating less but feel hungry or feel like eating even if I’m not hungry. Looking for advice on healthy things to eat between meals and limiting appetite here is a list of things that I like to eat . - - I like Kind Dark Chocolate Cherry Cashew bars (170 cal, 22 g carbs and 6 g protein) - addicting - Inspire Square Protein Wafers by Bariatric Eating (200 cal, 13 g Carbs 15 g protein) - addicting - BariatricPal Protein Shake or Pudding – Chocolate (6 gm carbs 15 gm protein) - Lunches - Dole Sunflower Salad Kit - 350 calaries (40 gm carbs and 9 gm protein)

The pull and twist sensation is most likely a stomach spasm. It is one of the rarer side effects of bariatric surgery. I got them too, and mine happened even with water! My surgeon told me they'd go away after a few weeks and sure enough, between weeks 2 and 3 they magically faded out! You have to be veeeeery slow with eating and drinking. The pain on the inside that feels like your stomach weight is causing it is completely normal. You have a lot of internal sutures and there are anchor stitches to keep things in place, those are often the most painful and take the longest to heal! I couldn't lie on my side for a few weeks without propping up my stomach with a pillow under it because the pulling of my stomach sideways caused intense pain thanks to the anchor stitches. I think it took about a month to 6 weeks for that to fade completely. Bariatric surgery is not a sprint, it is a marathon. Healing takes time and a generous amount of patience. The more impatient and annoyed you are with your body, the more agitated and anxious you will get. All the things you have described sound fairly normal for 11-12 days out from surgery. I'm sure your surgeon will tell you that at your follow up appointment! Be sure he knows all your concerns. It takes about 3 months for those internal sutures and cut nerves to heal up completely and start sending clearer signals to your brain. But the pain from the incisions and internal stitches should go away within 4-6 weeks. I'm sorry your team didn't explain to you how gradual recovery is and how slow it can feel... You can do this! When you see the scale moving it'll help ease the frustration. LOL

Just try and stay calm today and you will be on your way to wishing you did this a whole lot sooner. BTW, I'm a Lanky too.

I am still pre-surgery so I can't give any advice just yet, but I wanted to wish you good luck and to say congratulations! You got this! ❤️

This is the absolute best written account of medical tourism for plastics I have seen. Thank you for the thorough description. Also congratulations and speedy recovery ❤️‍🩹

Congratulations and thank you for great info.