Was Just Approved For Revision Surgery

[Thunder7 11]

I put on 40 lbs since my VSG in 2018. I filled out a health questionnaire for Mexico Bariatric Center. Just got approved from one of their Doctors. Not sure if I want to try and take this off traditionally or try the revision. I think it's 3 times the price here in the USA.

[Orquidea Pinkins 1]

I did a revision and it's horrible 😫

[Thunder7 11]

1 hour ago, Orquidea Pinkins said:

I did a revision and it's horrible 😫

Do you mind elaborating?

[RickM 1,747]

I've been in this WLS world for close to twenty years, since the initial work up to my wife's DS and then my VSG some years later, and from what I have seen from many in our support groups, most everyone can lose up to around 30lb of regain - it takes some effort and a few months, but it comes off more or less like a "normal" person. 50lb or regain is more a a 50-50 proposition - some can lose it on their own, and some need a revision to help it along.

My general feeling is that the revision should be your last step rather than your first. Go back to some basics and try to understand where your regain happened, as if it happened, once, it can happen again after a revision., so you need to get your head around the root of the problem. Is it a head problem, meaning that maybe some therapy is in order, or not really understanding the nutritional side of things and how to eat and live to maintain a healthy weight - an RD can be helpful for this. Or, maybe a bit of both.

Unfortunately, our WLS, and by extension a revision for regain (rather than for complications) is really more of a "do over" rather than a cure for the problem

Very commonly, before we had WLS, the most frequent reason for failure in dieting is that the diet will yield some weight loss, maybe even to normalish weight, but then the person declares success and goes back to their old habits, and diet, that helped to promote the weight gain in the first place - they never really learned how to live, and eat, to maintain that healthy weight. This is why we frequently see people regaining fairly rapidly after notionally successful dieting. The same basic profile often happens after WLS, only it takes a while longer to happen owing to the lower volume that we can eat, but that tendency is still there.

Another consideration is that every time we go inside to do surgery, we back ourselves further into a corner, limiting our options for future treatment should that be necessary, whether for regain revision or for something completely unrelated; you have limited any future surgeon's options in what they can do to help you with some future problem. This is why I am very shy about "wasting" a surgery if I can possibly treat the problem some other way. Again, let it be your last choice, rather than your first.

[GreenTealael 24,852]

On 8/6/2021 at 2:20 PM, RickM said:

I've been in this WLS world for close to twenty years, since the initial work up to my wife's DS and then my VSG some years later, and from what I have seen from many in our support groups, most everyone can lose up to around 30lb of regain - it takes some effort and a few months, but it comes off more or less like a "normal" person. 50lb or regain is more a a 50-50 proposition - some can lose it on their own, and some need a revision to help it along.

My general feeling is that the revision should be your last step rather than your first. Go back to some basics and try to understand where your regain happened, as if it happened, once, it can happen again after a revision., so you need to get your head around the root of the problem. Is it a head problem, meaning that maybe some therapy is in order, or not really understanding the nutritional side of things and how to eat and live to maintain a healthy weight - an RD can be helpful for this. Or, maybe a bit of both.

Unfortunately, our WLS, and by extension a revision for regain (rather than for complications) is really more of a "do over" rather than a cure for the problem

Very commonly, before we had WLS, the most frequent reason for failure in dieting is that the diet will yield some weight loss, maybe even to normalish weight, but then the person declares success and goes back to their old habits, and diet, that helped to promote the weight gain in the first place - they never really learned how to live, and eat, to maintain that healthy weight. This is why we frequently see people regaining fairly rapidly after notionally successful dieting. The same basic profile often happens after WLS, only it takes a while longer to happen owing to the lower volume that we can eat, but that tendency is still there.

Another consideration is that every time we go inside to do surgery, we back ourselves further into a corner, limiting our options for future treatment should that be necessary, whether for regain revision or for something completely unrelated; you have limited any future surgeon's options in what they can do to help you with some future problem. This is why I am very shy about "wasting" a surgery if I can possibly treat the problem some other way. Again, let it be your last choice, rather than your first.

Fantastic response, 100% agree .