Hi, before considering redo/revisional surgery, it is important to assess what factors have led back to the cycle of weight loss and regain. There may be non-surgical or lifestyle factors that you can address before considering redo surgery. You will need to be investigated for other cause of weight regain e.g. is it a surgical issue, or is there an underlying medical condition.Bear in mind that redo surgery carries increased risk compared to the original surgery. Also a redo sleeve may not be your best option, but rather a different procedure altogether.
1. Caloric intake2. Energy expenditure3. Surgical factorsCaloric intake and energy expenditure are relatively self-explanatory.Surgical factors in this situation mainly refers to how "tight" a sleeve is. Another way of looking at it is: how much stomach is left behind. A "loose" sleeve can mean reduced food portion restriction.
Hi, the gastric sleeve reduces the stomach size (therefore limiting meal portion size) and reduces hunger-hormone production. However, there are always ways of consuming excess calories depending on what you consume. Furthermore, surgery is only one aspect of weight loss solution. There are other lifestyle factors that need to be addressed also. This holistic approach helps to create the best outcome.
The gastric band is reversible. However, removal may result in weight regain. It does give the option of conversion to a different weight loss procedure. Bear in mind that revisional surgery carried increased risk of complications compared to primary surgery.
Assuming the fillers are injected in the correct plane, the filler should not move. The surrounding tissue tends to hold the fillers and place. Fillers can be massaged/moulded, but should no move with sneezing.
