So I just had a really interesting chat with my nurse about WLS. She asked me all sorts of questions, like why I picked the sleeve, whether I had considered the other WLS options,etc.

I thought it was interesting because she's very thin and thin people don't usually show much interest in WLS. But then I looked at her really closely and realized: OMG she's bypass!

And sure enough she told me she'd gotten bypass a few years back. She had what I have come to think of as 'the look' of a bypass patient. Many of the people who are more than a year or two out from a bypass seem to have the same look- dry, parched looking saggy skin, aged teeth, extremely thinned hair ( we get that too but outs grows back within a few months to a year). It's mostly just a general look of being unwell.

Have you ever noticed this or am I just nuts?

It makes me so glad that with the sleeve people will most likely never be able to look at me and know I've had WLS.

OMG, I have been trying to explain this to my husband, and wondering if it will happen to me. I have seen it in some VSG people as well though, IMO. But, most VSG patients seem to look very "fresh-faced" (compliment).

But yes, I know exactly what you are referring to and have been thinking of that the past few days.

I know exactly what you are talking about. Everyone I have talked to that has had the bypass has resembled that description. Too bad they didn't pick the sleeve. It may have taken a little longer to lose all of the weight but I really think it is much healthier to slow it down a little more. With the sleeve our body takes everything it is suppose to from food and theirs just can't.

I know several people who had the gastric bypass and one of them did look that way, the rest looked really healthy to me.

Yes, they don't have pink in their faces and the skin hangs differently. It's hard to explain, but it is something subtle but I can pick up on it. I've seen it on strict vegans as well. Personally, I think it is lack of proper vitamin digestion which is why I am researching endlessly about this surgery.

Yeah, I have seen this time and time again. I must say it is harder to detect in ethnic women though. I look out for the lollypop head look or a lot of sagging skin on darker women.