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Sorry to hear that! Let your stomach heal and I bet you will be able to get the bypass. I have heard this a lot for getting a revision from the band to either sleeve or bypass. There is sometimes stomach damage from the band and you just have to let yourself heal. Maybe do weight watchers or something while you are waiting for the bypass. I know you're disappointed but at least you are on the mend now. Big hugs going your way

You're not dumb...I asked myself and my surgeon that after mine flipped. When he got in there to correct it he said one of the stitches had come undone, the other was still attached (he puts two stitches in?!)...anyway, he told me he put 4-5 in on my revision. I don't know if he just didn't stitch it right or what went wrong - he couldn't tell me. I'm just glad it is fixed!

My plan will pay for any problems/ revisions as long as it's medically necessary.

Overall, I think most studies show there's a 5-15% re-surgical rate with the band. That includes port revisions, leaky tubes, erosions, dilations etc. It is a little higher than the other three WLS techniques. Here's a video that makes a lot of sense by a well known bariatrics surgeon. How he helps his patients decide. http://www.youtube.com/watch?v=3VmvWFu79Ik#t=99

Ok guys, I'm pretty much a newbie to the website, only joined a few weeks ago. I got my surgery date last week. It's September 6th, three weeks from today. I gotta admit, I'm getting nervous. I had Lap Band surgery four years ago (it failed, miserably) so this is a revision. It's the fact that they'll be cutting out 90% of my stomach that's freaking me out. Yeah, I know that's what I signed up for, it's just the procedure itself that's making me nervous. I had a client who had bypass surgery a few years back and when they went to make the connections her stomach/intestinal tissue was so fragile they could barely reconnect. She had tons of problems with leaks and almost died. So while my logical mind tells me that was a very freak event, my emotions are playing hell with me. I could really use some encouraging words from some of you guys who have been through this. Thanks!

I'm finally scheduled for surgery in 3wks...I'm just looking for the basics on what to expect the first few days after surgery. Besides tired anyways. Soreness and so on. I am actually having a revision from lap-band to the sleeve...anyone who has had it done this way with any tips, I would greatly appreciate it!

I'm 11 days and 14lbs post op and feeling great! I can't believe how fast and what a breeze the surgery was! I did not do a revision so a litte different situation in that respect but any of the questions or anxiety I may have felt before is behind me and I'm so excited for my future! You came to the decision for many reasons and with a clear head I'm sure, before the anxiety of the "moments" before set in. You can do this! Get your desk cleared and your stuff done so you can focus on YOU during the time you've taken off for recovery. Luck to you!! :)

I'm not having a revision, I'm actually having my first surgery. I'm going to have the sleeve done. But my surgery date is March 31st. Maybe we could be sleeve buddies. Haha

I have no tips on handling the revision, but wanted to wish you all luck. Sept 12th is my birthday, so you guys are getting sleeved at a great time! I'm a week shy of one year out and I am loving life! Good luck!!

Had my RNY in 2008 but looking to have a revision in January. Had my original in NC Sent from my KFFOWI using the BariatricPal App

Ok...first, be glad for the posts that talk about the negatives. When I was doing my research, nobody was talking about these things so I went into surgery with a whole different perspective. Knowing then what I know now...I might (stressing might) have made a different decision but at least I would have had the full story. I read an article (I swear I need to print these off or bookmark them) that said only 4 out of 10 banders are successful...success being determined as only losing 50% of their excess weight and that's only of the percentage who don't end up losing their band from erosion or other medical complications and I can't remember whether these problems were 60% or 40%...sorry. I had my band out two weeks ago due to chronic phrenic nerve pain. My insurance did not have to give prior approval since it wasn't elective...it was due to a 'complication'. I'd guess most insurance companies work that way. My surgeon wanted to do a revision to the sleeve. I would have had to go through the whole approval process (psych eval mainly) again for that one. My insurance company had no problem in approving the sleeve (I didn't get it by the way) because the band was being removed because of a complication...not because it didn't work. Even then, the surgeon said they know how to word the paperwork so insurance companies will approve. Oh, and according to my surgeon, the band is not considered 'restrictive' but the sleeve is so again perhaps it's just in the wording? You can read about the experiences of others...good and bad...but it still won't tell you how you'll do. Ask yourself this...if you don't get the band, then what will you do? Yes, there's a risk you'll be one of those who fail at the band *or* are failed by the band (and it happens more than the manufacturers would like to admit)...but you could also be one of those who are successful. Personally, I wouldn't give up without trying. .

<p>yeah, i've been doing terrible.</p> <p> </p> <p>i haven't worked out in 2 weeks (1st week had a sick child, last week..no excuses). i haven't been logging my food. i get my first fill tomorrow.</p> <p> </p> <p>i'm revising my goal of items to do before December 27 (approx 2 months post op):</p> <p>1. go 3 whole days without any sugar or simple carbs</p> <p>2. work out 15 times at Curves</p> <p>3. log my food 25 out of 30 days.</p> <p>4. go on one family/friend outing that does not involve food. </p> <p>5. read a book (i used to love to read, but i'm not a big fan of fiction, and some of the non-fiction stuff is really dry, maybe i will find a self-help book for head hunger..lol)</p>

Band7 I did well with the band, had a revision and has gained 22 pounds since having it. I have had a upper GI and only about 50 percent of my stomach removed. My problem is will do it, trying to decide

Is there a military hospital that you can go to and get the sleeve if that is the surgery you really want. I refused RNY/bypass when I had to revise from the band and I listed the reasons below. I've also included the basic information about both surgeries. There are many reasons why I chose VSG instead of RNY, and my VSG was covered at a military hospital 100%. I would recommend checking out the obesityhelp.com website, look under surgical forums, check out the Revision forum so you can see how many people are looking to revise from RNY because of weight regain or complications, and then check out the failed weight loss surgery forum just so you can get an idea of people that are further out. Here are my reasons for getting VSG instead of RNY: The Vertical Sleeve Gastrectomy procedure (also called Sleeve Gastrectomy, Vertical Gastrectomy, Greater Curvature Gastrectomy, Parietal Gastrectomy, Gastric Reduction, Logitudinal Gastrectomy and even Vertical Gastroplasty) is performed by approximately 20 surgeons worldwide. This forum is titled “VSG forum” to include the two most common terms for the procedure (vertical and sleeve). The earliest forms of this procedure were conceived of by Dr. Jamieson in Australia (Long Vertical Gastroplasty, Obesity Surgery 1993)- and by Dr. Johnston in England in 1996 (Magenstrasse and Mill operation- Obesity Surgery 2003). Dr Gagner in New York, refined the operation to include gastrectomy(removal of stomach) and offered it to high risk patients in 2001. Several surgeons worldwide have adopted the procedure and have offered it to low BMI and low risk patients as an alternative to laparoscopic banding of the stomach. It generates weight loss by restricting the amount of food (and therefore calories) that can be eaten by removing 85% or more of the stomach without bypassing the intestines or causing any gastrointestinal malabsorption. It is a purely restrictive operation. It is currently indicated as an alternative to the Lap-Band® procedure for low weight individuals and as a safe option for higher weight individuals. Anatomy This procedure generates weight loss solely through gastric restriction (reduced stomach volume). The stomach is restricted by stapling and dividing it vertically and removing more than 85% of it. This part of the procedure is not reversible. The stomach that remains is shaped like a very slim banana and measures from 1-5 ounces (30-150cc), depending on the surgeon performing the procedure. The nerves to the stomach and the outlet valve (pylorus) remain intact with the idea of preserving the functions of the stomach while drastically reducing the volume. By comparison, in a Roux-en-Y gastric bypass, the stomach is divided, not removed, and the pylorus is excluded. The Roux-en-Y gastric bypass stomach can be reconnected (reversed) if necessary. Note that there is no intestinal bypass with this procedure, only stomach reduction. The lack of an intestinal bypass avoids potentially costly, long term complications such as marginal ulcers, vitamin deficiencies and intestinal obstructions. Comparison to prior Gastroplasties (stomach stapling of the 70-80s) The Vertical Gastrectomy is a significant improvement over prior gastroplasty procedures for a number of reasons: 1) Rather than creating a pouch with silastic rings or polypropylene mesh, the VG actually resects or removes the majority of the stomach. The portion of the stomach which is removed is responsible for secreting Ghrelin, which is a hormone that is responsible for appetite and hunger. By removing this portion of the stomach rather than leaving it in-place, the level of Ghrelin is reduced to near zero, actually causing loss of or a reduction in appetite (Obesity Surgery, 15, 1024-1029, 2005). Currently, it is not known if Ghrelin levels increase again after one to two years. Patients do report that some hunger and cravings do slowly return. An excellent study by Dr. Himpens in Belgium(Obesity Surgery 2006) demonstrated that the cravings in a VSG patient 3 years after surgery are much less than in LapBand patients and this probably accounts for the superior weight loss. 2) The removed section of the stomach is actually the portion that “stretches” the most. The long vertical tube shaped stomach that remains is the portion least likely to expand over time and it creates significant resistance to volumes of food. Remember, resistance is greatest the smaller the diameter and the longer the channel. Not only is appetite reduced, but very small amounts of food generate early and lasting satiety(fullness). 3) Finally, by not having silastic rings or mesh wrapped around the stomach, the problems which are associated with these items are eliminated (infection, obstruction, erosion, and the need for synthetic materials). An additional discussion based on choice of procedures is below. Alternative to a Roux-en-Y Gastric Bypass The Vertical Gastrectomy is a reasonable alternative to a Roux en Y Gastric Bypass for a number of reasons Because there is no intestinal bypass, the risk of malabsorptive complications such as vitamin deficiency and Protein deficiency is minimal. There is no risk of marginal ulcer which occurs in over 2% of Roux en Y Gastric Bypass patients. The pylorus is preserved so dumping syndrome does not occur or is minimal. There is no intestinal obstruction since there is no intestinal bypass. It is relatively easy to modify to an alternative procedure should weight loss be inadequate or weight regain occur. The limited two year and 6 year weight loss data available to date is superior to current Banding and comparable to Gastric Bypass weight loss data(see Lee, Jossart, Cirangle Surgical Endoscopy 2007). First stage of a Duodenal Switch In 2001, Dr. Gagner performed the VSG laparoscopically in a group of very high BMI patients to try to reduce the overall risk of weight loss surgery. This was considered the ‘first stage’ of the Duodenal Switch procedure. Once a patient’s BMI goes above 60kg/m2, it is increasingly difficult to safely perform a Roux-en-Y gastric bypass or a Duodenal Switch using the laparoscopic approach. Morbidly obese patients who undergo the laparoscopic approach do better overall in their recovery, while minimizing pain and wound complications, when compared to patients who undergo large, open incisions for surgery (Annals of Surgery, 234 (3): pp 279-291, 2001). In addition, the Roux-en-Y gastric bypass tends to yield inadequate weight loss for patients with a BMI greater than 55kg/m2 (Annals of Surgery, 231(4): pp 524-528. The Duodenal Switch is very effective for high BMI patients but unfortunately it can also be quite risky and may be safer if done open in these patients. The solution was to ‘stage’ the procedure for the high BMI patients. The VSG is a reasonable solution to this problem. It can usually be done laparoscopically even in patients weighing over 500 pounds. The stomach restriction that occurs allows these patients to lose more than 100 pounds. This dramatic weight loss allows significant improvement in health and resolution of associated medical problems such as diabetes and sleep apnea, and therefore effectively “downstages” a patient to a lower risk group. Once the patients BMI is lower (35-40) they can return to the operating room for the “second stage” of the procedure, which can either be the Duodenal Switch, Roux–en-Y gastric bypass or even a Lap-Band®. Current, but limited, data for this ‘two stage’ approach indicate adequate weight loss and fewer complications. Vertical Gastrectomy as an only stage procedure for Low BMI patients(alternative to Lap-Band®and Gastric Bypass) The Vertical Gastrectomy has proven to be quite safe and quite effective for individuals with a BMI in lower ranges. The following points are based on review of existing reports: Dr. Johnston in England, 10% of his patients did fail to achieve a BMI below 35 at 5 years and these tended to be the heavier individuals. The same ones we would expect to go through a second stage as noted above. The lower BMI patients had good weight loss (Obesity Surgery 2003). In San Francisco, Dr Lee, Jossart and Cirangle initiated this procedure for high risk and high BMI patients in 2002. The results have been very impressive. In more than 700 patients, there were no deaths, no conversions to open and a leak rate of less than 1%. The two year weight loss results are similar to the Roux en Y Gastric Bypass and the Duodenal Switch (81-86% Excess Weight Loss). Results comparing the first 216 patients are published in Surgical Endoscopy.. Earlier results were also presented at the American College of Surgeons National Meeting at a Plenary Session in October 2004 and can be found here: www.facs.org/education/gs2004/gs33lee.pdf. Dr Himpens and colleagues in Brussels have published 3 year results comparing 40 Lap-Band® patients to 40 Laparoscopic VSG patients. The VSG patients had a superior excess weight loss of 57% compared to 41% for the Lap-Band® group (Obesity Surgery, 16, 1450-1456, 2006). Low BMI individuals who should consider this procedure include: Those who are concerned about the potential long term side effects of an intestinal bypass such as intestinal obstruction, ulcers, anemia, osteoporosis, protein deficiency and vitamin deficiency. Those who are considering a Lap-Band® but are concerned about a foreign body or worried about frequent adjustments or finding a band adjustment physician. Those who have other medical problems that prevent them from having weight loss surgery such as anemia, Crohn’s disease, extensive prior surgery, severe asthma requiring frequent steroid use, and other complex medical conditions. People who need to take anti-inflammatory medications may also want to consider the Vertical Gastrectomy. Unlike the gastric bypass where these medications are associated with a very high incidence of ulcer, the VSG does not seem to have the same issues. Also, Lap-Band ® patients are at higher risks for complications from NSAID use. All surgical weight loss procedures have certain risks, complications and benefits. The ultimate result from weight loss surgery is dependent on the patients risk, how much education they receive from their surgeon, commitment to diet, establishing an exercise routine and the surgeons experience. As Dr. Jamieson summarized in 1993, “Given good motivation, a good operation technique and good education, patients can achieve weight loss comparable to that from more invasive procedures.” Next: Advantages and Disadvantages of Vertical Sleeve Gastrectomy >> This information has been provided courtesy of Laparoscopic Associates of San Francisco (LAPSF). Please visit the Laparoscopic Associates of San Francisco. Advantages and Disadvantages of Vertical Sleeve Gastrectomy Vertical Sleeve Gastrectomy Advantages Reduces stomach capacity but tends to allow the stomach to function normally so most food items can be consumed, albeit in small amounts. Eliminates the portion of the stomach that produces the hormones that stimulates hunger (Ghrelin). Dumping syndrome is avoided or minimized because the pylorus is preserved. Minimizes the chance of an ulcer occurring. By avoiding the intestinal bypass, almost eliminates the chance of intestinal obstruction (blockage), marginal ulcers, anemia, osteoporosis, protein deficiency and vitamin deficiency. Very effective as a first stage procedure for high BMI patients (BMI > 55 kg/m2). Limited results appear promising as a single stage procedure for low BMI patients (BMI 30-50 kg/m2). Appealing option for people who are concerned about the complications of intestinal bypass procedures or who have existing anemia, Crohn’s disease and numerous other conditions that make them too high risk for intestinal bypass procedures. Appealing option for people who are concerned about the foreign body aspect of Banding procedures. Can be done laparoscopically in patients weighing over 500 pounds, thereby providing all the advantages of minimally invasive surgery: fewer wound and lung problems, less pain, and faster recovery. Vertical Sleeve Gastrectomy Disadvantages Potential for inadequate weight loss or weight regain. While this is true for all procedures, it is theoretically more possible with procedures that do not have an intestinal bypass. Higher BMI patients will most likely need to have a second stage procedure later to help lose the rest of the weight. Remember, two stages may ultimately be safer and more effective than one operation for high BMI patients. This is an active point of discussion for bariatric surgeons. Soft calories such as ice cream, milk shakes, etc can be absorbed and may slow weight loss. This procedure does involve stomach stapling and therefore leaks and other complications related to stapling may occur. Because the stomach is removed, it is not reversible. It can be converted to almost any other weight loss procedure. Considered investigational by some surgeons and insurance companies. Next: >> Frequently Asked Questions About Vertical Sleeve Gastrectomy This information has been provided courtesy of Laparoscopic Associates of San Francisco (LAPSF). Please visit the Laparoscopic Associates of San Francisco. Bypass information

I'm on the 6th too. Revising from the band. I had multiple last meals [emoji20]. I sadly gained weight from my last visit. But I'm on day 4 of my 7 day liquid diet. I've been wanting to revise for two years. I've unfortunately gained back all my weight plus a little due to band failure. I hope things go very well for all. Now that it's 4 days away I'm starting to get a little nervous. I'm hoping I have an easy recovery. Honestly I'm not worried to much about the pain, although last time day 1 sucked, but I was off pain meds by day 3. I'm worried about having trouble getting all me fluids in. I currently drink a lot of wyler's light (similar to crystal light).

I have wondered about the "limit" thing. I have a friend that currently has lapband. She was trying for revision through her new insurance. She found out that they have a "1 per lifetime" limit on bariatric surgery even though THEY didn't have anything to do with the original surgery. It would seem to me that it would be cheaper on the insurance company to go ahead and cover the surgery rather than paying for the multitude of specialists that she would have to see to deal with the affects of obesity on her body. As for recovery, it is VERY similar to getting the band. I am on lifting restrictions for 4 weeks. I work at a pretty physical job so I am actually off work on short term disability for the entire time. I have heard of people going back to work soon after surgery (like less than a week). The hardest part, to me, is getting my fluids in. It is very easy to get dehydrated post op. I struggle to get in 5 cups of Water a day. I working on it, but it can be tough. I'm in contact with a few revisioners. They still VERY happy with their decision to revise. They inspire me daily. I will admit that it was their sucess that made me finally talk to my doctor about revising.

I can also empathize... mine has been awful over the past three weeks since my gallbladder came out. I am on pantoloc twice a day, sulcrafate four times a day and buscopan twice a day. For pain i am on tramacet every 6 hours. Been hospitalized twice now for a total of 5 days. ???? Have a follow up appointment this week to see how next steps for medication and if I stay on what i am or if they want to change it. For the past few days it has at least been bearable. Prior to the pain medication i couldn't cope with the tearing and sudden pains . They would last 20 to 120 minutes and would happen up to 6 times a day ???? Needless to say eating was tough. My surgeon also said a revision to bypass would be the next steps if the gastroscopy shows it is worse and cant be managed by pain. I have been drinking happy life Water with a ph of 7.4 and i think it does help soothe the stomach a bit.... Have you had a gastroscopy and ph test and stuff ? I also try and eat a small amount of food every 2 hours while i am awake. I try and stick to foods with a ph level of 5 and higher if possible... very hard to do and still get Protein... so i definitely rely on the medication. Oh and i also have a couple plain dry almonds and some alkaline water after every meal. And i sleep partially sitting up.... Sorry for rambljng... those are the things that come to mind. I feel i have been obsessed with this since the awful pains started! ????

I've had some pretty intense bouts of gastritis but lately it's been hard to control. I take 40mg omemprezole daily, 150mg ranitidine with meals, tums in the morning, and carafate drink with flare ups. I currently have a flare up and none of its helping. The pain comes in burning waves and sometimes is so intense I wanna cry. I also get "hunger" symptoms like irritability, shakiness, and dizzyness. I used to mistaken this for low blood sugar but know now it's just stomach acid. Anywho... has anyone had stubborn gastritis that hasn't responded to the above treatment? Any idea what can be added ? I know that they do a revision to bypass for stubborn gerd, but I havnt heard much about gastritis. And only being 11 months out I don't think docs are even considering it. I'm curious what other treatments are available.

My husband and I are both getting band to sleeve revisions. The Dr wants to wait a month between surgeries, but we are hoping for 3 weeks. Hopefully late July and mid August. We got our approvals Friday so just playing the waiting game for our surgery dates, hoping to hear tomorrow!! Sent from my SM-G925T using the BariatricPal App

MPW09, I too had a sweet tooth and also had type 2 diabetes and on the lap band was able to keep eating sweets as the healthier foods never would go down for me and I would PB. My diabetes worsened with the lap band because of that. I didnt know all the junk food would still go through the band I only thought something like ice cream or sugar drinks would be an issue. I'm much older than you and was at the point where I couldn't even lose weight anymore, forget the keep it off part and due to my health I had the lap band removed and eight months later revised to RNY. I'm fairly new at it and know the effect sugar will have on me now and it's not pleasant. I also don't crave it like I used to (knock on wood)when I was banded and before and am off my diabetic meds completely. I know it's not a "popular" view here at LBT but thought you might as well hear the other side of it from someone also. Good luck to you which ever surgery you choose. Nancy.

I am there with you. My surgery was scheduled for Set. 2, all appointments were done and they submitted on the 17th. The band removal was approved that day. They also denied the revision. The reason given was that even though the band caused complications, I was non compliant since I said in the dietary consult that I didn't always follow the post bariatric diet. Of course the fact that I had days I couldn't eat anything because of the band just wasn't mentioned. Also, because my BMI is now only 33.47 and I did lose with band, I don't meet the conditions for coverage for the RNY. Now as I see it, they are punishing me for actually loosing weight with the wrong tool. I was never able to have more than 4cc in the band so I never really had the restriction to only be able to 1/2 cup or less for total success. The REAL problem is my doctor's nurse. She isn't returning my calls. I didn't know about the denial until I had called several times about instructions for my pre-op appointment at the hospital. At that time (20th) she said the doc was doing a phone call with the insurance company. Several more calls to her (no response) I called the insurance company (TRICARE) and they said they only had a request dated the 19th, and no other follow up. They offered to send it over again to that department. I again called the nurse without response so I called the nurse who does the seminars and she did a face to face with the nurse. This was on the first and she did tell me the surgery had been cancelled, but the other nurse would get back to me. Nothing again so I called on the morning of the third without response. Without doubt this has been an ugly long weekend.

Hi all! I was banded back in 2003, and it took me 2 years to reach my goal weight. Then came the great lap band slippage of 2005. I went for the corrective procedure and was told all was well, since then I have had nothing but trouble - I've regained 60lbs and can't seem to loose any of it. It's as though EVERYTHING I eat causes me to gain weight - even though my diet consists mostly of veggie Soup (cause its about all I can keep down) and I wake every night choking on reflux, not to mention the constant pain at the port site. So today i went back to my surgeon and as suspected, the band has slipped again. I've discussed my options with Dr.D and have decided the best plan for me is to remove the band and have the revision to a sleeve. Dr.D tells me that I have to remove the band, wait 3 months for my stomach to relax then have the sleeve done. I've tried to argue with him re; the 3 month rest period but considering he is the surgeon, and I have no idea about surgical matters, I didn't get very far in my attempts to get him to do the removal and sleeve in one surgery. Has anyone had the same experience - Band out, few months wait then sleeved? I'm so worried about the weight gain in those 3 months - can anyone share their story? Did you gain weight? How rapidly? Or how did you maintain your weight loss over that time? I'm not going to lie, this is terrifying me - so I thought I'd reach out to fellow banders for support!

<?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" /><st1:place w:st="on"><st1:City w:st="on">Nancy</st1:City></st1:place> - thanks for your thoughts and I appreciate you took time to response.<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p> <o:p> </o:p> want2beme - first I would say that it is not easier to hear that someone else is in the same situation. I'm so sorry you have to go thru this <o:p></o:p> <o:p></o:p> I’m having my surgery this week, although I gained 7lbs, I keep vomiting so I lost these few pounds, I'm completely unfilled, I cant eat anything solid, so I don’t really know whats better at this point – gain little weight or be able to eat something solid (which I could heve since my initial surgery).<o:p></o:p> <o:p></o:p> I found something very interesting, your doctor was Dr. Lopez Corvala as he was mine, do you see a pattern here perhaps?<o:p></o:p> <o:p></o:p> Will you have a revision done? my (local) doc said that the problem will NOT be fixed by liquids, so I hope you take care of yourself soon.<o:p></o:p> <o:p></o:p> Wishing you all the best, and please update me/us.<o:p></o:p> <o:p> </o:p> <o:p> </o:p> <o:p> </o:p>

Hi Jane! There is a section on here band to sleeve revision I changed my mind half way through as well because of the fills etc. Also a friend has it and u really can't tell she has gained a lot back. I wish u best if luck in ur decision but I feel the sleeve is better than bypass if u were. Considering that. The band scares me LOL I think if u visit the topic and read people's experienced u will feel more confident in ur decision. Sent from my Samsung Admire using VST

I have a band and would like a sleeve revision. Problem is I can't find a revision surgeon willing to see me since they didn't place my band initially. That doesn't make sense to me:( I have excellent health insurance though. Do any if you know a good Houston area revision surgeon?? Thanks!