Is my gastric sleeved stretched out?Would I need a revision?

It’s completely normal for your stomach capacity to increase slightly over time after gastric sleeve surgery. Right after surgery, your stomach is swollen, and you feel full with very small amounts of food. As healing progresses, the swelling goes down, and your stomach adapts, allowing you to eat a bit more. However, eating twice as much as before doesn’t necessarily mean your sleeve is stretched beyond repair.
A true sleeve dilation is rare and usually happens due to consistently overeating over time. If you don’t feel pain or extreme hunger after meals, your stomach likely hasn’t stretched significantly. Instead, your hunger cues and portion sizes might have gradually increased, making it easier to eat more.
The good news is that you can get back on track without needing a revision. Many people regain some weight after 12-18 months, but you can reset your habits and see results again. Here’s what can help:
Try the "Pouch Reset" or a Modified Liquid Diet – Going back to protein shakes and soft foods for a few days can help shrink your stomach’s tolerance for food and reset your hunger signals.
Prioritize Protein & Dense Foods – Eat protein first, as it keeps you full longer. Avoid slider foods (soft carbs, chips, crackers, ice cream) that don’t fill you up.
Measure Portions – Use small plates and aim for 3-4 oz of food per meal.
Check for Mindless Eating & Emotional Triggers – If you’re snacking more or eating past fullness, try logging food for awareness.
Increase Water & Cut Out Sugary Drinks – Dehydration can sometimes be mistaken for hunger.
A revision is not the first solution for a small regain like this. If you regain 50+ lbs or truly feel out of control with eating, you could look into an endoscopic sleeve revision (ESG) or converting to bypass, but you’re far from that point now.
You’ve already lost 50 lbs, and a 12-lb regain is fixable. Get back on track, be consistent, and give it a few weeks. You’ll likely notice that your hunger and capacity decrease again.

If your sleeve has stretched and are having trouble getting to or maintaining a healthy weight, you can have a sleeve rescue surgery, meaning, your sleeve can be made smaller.  For some its a matter of the sleeve stretching, but sometimes the sleeve wasn't done effectively the first time, and you may have falled into some bad habits (too many carbs).  By fixing your sleeve, you can get back on track, reduce your pouch size, and work with a nutritionist to make sure you are making healthy choices.

Hi there.It does sound like you are having some trouble, I think a direct assessment with a bariatric surgeon would be your best bet, to know what to offer you, because not everyone is the same.
Although easy advice could be resetting your diet, using the liquid diet, that was given to you during the immediate Post Op period, do this for around 4 weeks, to get used to smaller portions once again.Like the previous Doctors that answered below, there is the possibility that your sleeve stretched out to a point where the restriction is not being enough to maintain a healthy weight. 
During a bariatric assessment, the desition could be made to offer you a revision surgery to continue with the weight loss until you reach your final weight goal
Best, Dr. Salvador Ramirez Guzman