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Revision Surgery Requirements



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Hi All,

Im new to this forum and site. Im trying to get information on what others went through when they had a revision surgery from Lap-Band to Sleeve. I have an appointment with a doctor this Friday and have called another doctor to schedule a consultation. My main question is whether they made you go through all the requirements again and how long did the process take before you had a surgery date scheduled. In cases where you were denied were you given the reason as to why you were denied.

Appreciate the help with this. Thank you.

Edited by mrobles1027

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Unless you're paying your own way, you'll do better to focus on your insurance plan.

Will you say where in NY you're located? And why you're seeking revision? I may need to revise, but have been putting off seeing my surgeon. I had the band done at Columbia UMC.

Edited by WLSResources/ClothingExch

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I'm going through the process of having a revision surgery. I lost 20 pounds with the lapband but I had complications. My surgeon told me that he can not perform the revision if my BMI was lower than 35. Long story short, I had to gained all my weight back and start from 0 in order to qualify for a revision surgery. I'm at 35.5 BMI right now and I have several health problems. My insurance and surgeon require documented lap-band complications and compliance with follow-up Lapband appointments (for the Lapband removal part), at least 35 BMI and 1 comorbidity, 6 months diet, pschy evaluation, documented active methods of weight loss (gym memberships, etc), 1 surgeon visit and 1 NUT visit. I'm submitting to insurance this week.

I'm going to a center of excellence so their requirements are super strict. Every surgeon is different and I hope you can find one that help you through this process, good luck!

Sent from my iPhone using the BariatricPal App

Edited by lolarose13

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Unless you're paying your own way, you'll do better to focus on your insurance plan.

Will you say where in NY you're located? And why you're seeking revision? I may need to revise, but have been putting off seeing my surgeon. I had the band done at Columbia UMC.

I am going through my insurance and they referred me to an Institute of Excellence. My location was incorrect. Im actually in CA.

I want to get revision because I had complications with the lap band 3 years ago to a point where I couldnt even drink Water. So I had them release everything from the band and I still have restrictions some time. SInce then I have gained 40 lbs. When I had the lap band I was at 250 and went down to 180 and now Im at 222. Its just not working for me anymore.

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I'm going through the process of having a revision surgery. I lost 20 pounds with the lapband but I had complications. My surgeon told me that he can not perform the revision if my BMI was lower than 35. Long story short, I had to gained all my weight back and start from 0 in order to qualify for a revision surgery. I'm at 35.5 BMI right now and I have several health problems. My insurance and surgeon require documented lap-band complications and compliance with follow-up Lapband appointments (for the Lapband removal part), at least 35 BMI and 1 comorbidity, 6 months diet, pschy evaluation, documented active methods of weight loss (gym memberships, etc), 1 surgeon visit and 1 NUT visit. I'm submitting to insurance this week.

I'm going to a center of excellence so their requirements are super strict. Every surgeon is different and I hope you can find one that help you through this process, good luck!

Sent from my iPhone using the BariatricPal App

Thank you for info. Please keep me posted on your progress. Im going through an Institute of Excellence as well. They did mention that I will have to go through all the requirements again. How long ago did you start the process?

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I'm going through the process of having a revision surgery. I lost 20 pounds with the lapband but I had complications. My surgeon told me that he can not perform the revision if my BMI was lower than 35. Long story short, I had to gained all my weight back and start from 0 in order to qualify for a revision surgery. I'm at 35.5 BMI right now and I have several health problems. My insurance and surgeon require documented lap-band complications and compliance with follow-up Lapband appointments (for the Lapband removal part), at least 35 BMI and 1 comorbidity, 6 months diet, pschy evaluation, documented active methods of weight loss (gym memberships, etc), 1 surgeon visit and 1 NUT visit. I'm submitting to insurance this week.

I'm going to a center of excellence so their requirements are super strict. Every surgeon is different and I hope you can find one that help you through this process, good luck!

Sent from my iPhone using the BariatricPal App

Thank you for info. Please keep me posted on your progress. Im going through an Institute of Excellence as well. They did mention that I will have to go through all the requirements again. How long ago did you start the process?

Hi,

I did my 6 months of nutritional visits last year. I started to request medical records on March of this year and I had my first consultation with the surgeon April 12. After that, I took 2 mandatory classes and I have my psychological evaluation done 2 weeks ago. I received the results of the evaluation yesterday and my doctor is submitting to insurance today or Monday. Do you know your insurance requirements? Some insurances do not require the 6 months diet, so the process goes a lot faster in this case.

Sent from my iPhone using the BariatricPal App

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Hi there! I had a band for 6 years and it broke. Overall I did ok with it.. Went from 197 to 162 and was quite happy. Was very bummed to hear it was broken. Actually, I was horrified. My surgeon told me not to worry- he would revise to a sleeve. Two months later, I was sleeved (April 20th). I was a self pay in the Dominican Republic for my band but my insurance picked up the entire thing this time. I didn't have to go to any classes or counseling. My BMI was 34 when revised. I will say this in retrospect- going back to classes is a good thing. The band is very different from the sleeve and the rules are different. I LOVE LOVE LOVE my sleeve and feel fantastic. Tons of energy and down 15 pounds in 3 weeks. I'm thrilled. I wish you the best, let me know if you have any questions!

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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