I really need a perspective on whether or not to have s sleeve. Bmi is 32. Weigh 200. 5'6" have 40# to lose. Already approved. Now having second thoughts. Not because of short term issues like pain, nausea, tiredness. really concerned about success after 2 years. I hear so many people commenting on revisions. Weight gain, etc. I'm trying to lose with weight watchers. It's a toss up of the sleeve vs liposuction in my tummy area. And arms. For contouring. Any comments appreciated. Question. For sleevers out 2 years and more, would u do it all over again

@nssmia

A thought, bmi 30 and over is obesity range, WIll lyposuction get you healthy long term or will you regain with that proceedure?

I'm also concerned about all the posts recently about weight gain and revisions.
Know there are many of us that bounce back from surgery with no complications and have kept the weight off. I had the sleeve in 2014. I reached goal in six months. I maintain in the 130's.

Many people at goal or maintaining no longer need the support on this site.. the positive is not getting enough recognition. You will see mostly. People researching, new to wls complications, weight gain and a handful of vets that stick around

I have a link of positive experiences to help balence out the other posts. It may help calm someone's anxiety.

55 minutes ago, nssmia said:

really concerned about success after 2 years. I hear so many people commenting on revisions. Weight gain, etc

https://www.bariatricpal.com/topic/423992-what-you-had-no-surgery-complications/?tab=comments#comment-4758950

[mention=360737]nssmia[/mention]
A thought, bmi 30 and over is obesity range, WIll lyposuction get you healthy long term or will you regain with that proceedure?
I'm also concerned about all the posts recently about weight gain and revisions.
Know there are many of us that bounce back from surgery with no complications and have kept the weight off. I had the sleeve in 2014. I reached goal in six months. I maintain in the 130's.

Many people at goal or maintaining no longer need the support on this site.. the positive is not getting enough recognition. You will see mostly. People researching, new to wls complications, weight gain and a handful of vets that stick around


I have a link of positive experiences to help balence out the other posts. It may help calm someone's anxiety.

Thank you for the info. I figured that there are a lot more success stories out there.. that helps me make a more informed decision. Sounds like you have done wonderful. I'm thinking about the liposuction because I have the Apple shape. All my weight is in my middle and bat wing arms. My legs and thighs are fine. You do lose 10 to 12# with liposuction so I figured I might be able to lose the other 30 on my own.

Liposuction isn't for weight loss, it's just for contouring. It sounds like you might have body image issues as you seem to be pretty concerned about how you look. You might want to think about why you're considering weight loss surgery.

1 hour ago, nssmia said:

Thank you for the info. I figured that there are a lot more success stories out there.. that helps me make a more informed decision. Sounds like you have done wonderful. I'm thinking about the liposuction because I have the Apple shape. All my weight is in my middle and bat wing arms. My legs and thighs are fine. You do lose 10 to 12# with liposuction so I figured I might be able to lose the other 30 on my own.

I'm not sure if a surgeon would approve bariatric surgery for a 30 pound weight loss. A normal BMI for your height is 124 to 154 pounds. Surgery is not for everyone. Weight loss to 170 pounds can be done on your own.

If liposuction makes you feel better about yourself then absolutely go for it. Bat wings may require an arm lift (brachioplasty)

Liposuction isn't for weight loss, it's just for contouring. It sounds like you might have body image issues as you seem to be pretty concerned about how you look. You might want to think about why you're considering weight loss surgery.

Hell no. I'm 67 years old not concerned with my looks. I'm really wanting to be healthier. Sleep apnea, high cholesterol, gerd. I've been carrying this extra 30 to 40 # For years and tired of being tired. I understand liposuction is for contouring only. I just keep losing and gaining the same 20 lbs. I appreciate your comments thx

Hell no. I'm 67 years old not concerned with my looks. I'm really wanting to be healthier. sleep apnea, high cholesterol, gerd. I've been carrying this extra 30 to 40 # For years and tired of being tired. I understand liposuction is for contouring only. I just keep losing and gaining the same 20 lbs. I appreciate your comments thx

If you already have GERD, then I'd say, no, do not have the sleeve, as there is a potential to make GERD worse with the sleve. Bypass can cure GERD, but I do not think you are a candidate for bypass either, with so little to lose. Maybe try a medically supervised diet and therapy...?

If you already have GERD, then I'd say, no, do not have the sleeve, as there is a potential to make GERD worse with the sleve. Bypass can cure GERD, but I do not think you are a candidate for bypass either, with so little to lose. Maybe try a medically supervised diet and therapy...?

I know. That is concerning to me about gerd. Some people its worse. Some say it's not a problem. I am beginning to think the sleeve is not for me at this time, with 30 to 35 # to lose. Isn't it ironic that this is one time in your life you wish you were heavier to meet the criteria. Thx for your comments

@nssmia

A few links that may help:

The National Institute of Health (NIH) set the standards to measure and treat obesity. There are many factors that are considered. However, in the United States, if you meet the simple guidelines below you qualify to have surgery. This does not mean that your insurance company will cover surgery!

https://www.obesitycoverage.com/am-i-morbidly-obese/

Bypass Vs sleeve

https://www.obesitycoverage.com/gastric-bypass-vs-gastric-sleeve-surgery/

[mention=360737]nssmia[/mention]
A few links that may help:
The National Institute of Health (NIH) set the standards to measure and treat obesity. There are many factors that are considered. However, in the United States, if you meet the simple guidelines below you qualify to have surgery. This does not mean that your insurance company will cover surgery!
https://www.obesitycoverage.com/am-i-morbidly-obese/
Bypass Vs sleeve
https://www.obesitycoverage.com/gastric-bypass-vs-gastric-sleeve-surgery/

With my bmi 32. I was going to be self pay so it isnt an insurance issue.I feel now after reading several comments, I will continue with weight watchers and hopefully lose 30. Thx so much

I had liposuction years and years ago when it was still new and it does nothing for weight loss. The fat cells come back and other ones are quite happy to store extra.

My BMI was 32 when I got my band 10 years ago. I am of the view that people that are only a “ little bit obese” eventually become a “ lot obese” if they don’t do something early on. All those people that got to BMIs of 40 and above would once have had a BMI similar to yours. Did they manage to lose the weight with diet and exercise or WW, no, they needed surgical intervention. That is because obesity is complex and the solution is not as simple as just diet and exercise, if it was none of us would have a problem.

I had to have my band out in Jan due to issues and I revised to an RNY, at that point my BMI was under 30. I am happy I did because after 56 years I know that I need help to control my weight, I can’t do it on my own.

It’s a lifestyle change, your mind and your eating habits.. you can do either , that’s the great thing about it!

I had liposuction years and years ago when it was still new and it does nothing for weight loss. The fat cells come back and other ones are quite happy to store extra.
My BMI was 32 when I got my band 10 years ago. I am of the view that people that are only a “ little bit obese” eventually become a “ lot obese” if they don’t do something early on. All those people that got to BMIs of 40 and above would once have had a BMI similar to yours. Did they manage to lose the weight with diet and exercise or WW, no, they needed surgical intervention. That is because obesity is complex and the solution is not as simple as just diet and exercise, if it was none of us would have a problem.
I had to have my band out in Jan due to issues and I revised to an RNY, at that point my BMI was under 30. I am happy I did because after 56 years I know that I need help to control my weight, I can’t do it on my own.

Thank you.

It’s a lifestyle change, your mind and your eating habits.. you can do either , that’s the great thing about it!

So true

I had liposuction years and years ago when it was still new and it does nothing for weight loss. The fat cells come back and other ones are quite happy to store extra.
My BMI was 32 when I got my band 10 years ago. I am of the view that people that are only a “ little bit obese” eventually become a “ lot obese” if they don’t do something early on. All those people that got to BMIs of 40 and above would once have had a BMI similar to yours. Did they manage to lose the weight with diet and exercise or WW, no, they needed surgical intervention. That is because obesity is complex and the solution is not as simple as just diet and exercise, if it was none of us would have a problem.
I had to have my band out in Jan due to issues and I revised to an RNY, at that point my BMI was under 30. I am happy I did because after 56 years I know that I need help to control my weight, I can’t do it on my own.

One one hand I feel the sleeve is the right choice. I did hcg 4 years ago and lost 30# have kept it off which I'm thankful for, but it is a struggle