Not losing weight after lapband removal and sleeve revision. What can be causing this?

First of all, you have to do X-ray studies, and see the conditions of the stomach before a bariatric procedure, you must control the hormonal problems, it is essential

It sounds like you’ve had a long and challenging journey with weight loss surgery, and I can understand how frustrating it must feel to go through multiple procedures without seeing the results you were hoping for. The combination of surgical revisions, menopause, and weight regain presents a complex situation that likely involves hormonal, metabolic, and anatomical factors.
Menopause itself can make weight loss more difficult due to shifts in hormone levels, particularly a decline in estrogen, which can slow metabolism and promote fat storage, especially around the abdomen. This is compounded by natural muscle loss that occurs with age, which further reduces your basal metabolic rate.
Additionally, repeated revisions, including transitioning from Lap-Band to a sleeve gastrectomy, may have affected the effectiveness of the surgery over time. When the initial sleeve surgery doesn’t result in significant weight loss, it can sometimes be due to issues like insufficient stomach restriction, hormonal adaptations, or even anatomical factors like dilation of the remaining stomach. It’s also possible that metabolic adaptation – the body’s natural response to sustained caloric restriction – is at play, making it harder to lose weight despite lower caloric intake.
Another important aspect to consider is how lifestyle factors, such as nutrition, activity levels, and psychological factors like stress and emotional eating, may contribute to weight regain or plateaus. Since you mentioned gaining weight during menopause, it may be helpful to assess your current dietary patterns and exercise routine to ensure they align with your body’s changing needs.
I would recommend discussing this with a bariatric specialist who can evaluate whether your stomach has stretched, if there is any anatomical issue post-revision, or if other interventions might be necessary. In some cases, medications such as GLP-1 receptor agonists (like Wegovy or Mounjaro) are prescribed to help with weight management in post-bariatric patients who struggle with weight regain. Hormone replacement therapy (HRT) might also be worth exploring to mitigate some of the metabolic effects of menopause, if you and your doctor determine it’s appropriate.
It’s important to acknowledge the emotional toll this can take. Feeling like you're putting in the effort without seeing progress can be discouraging, but there are often additional strategies that can help, even if surgery hasn’t produced the desired results.

Hello. How are you?
Weight regain or difficulty losing weight after multiple bariatric procedures can be influenced by various factors, including age, comorbidities, hormonal changes like menopause, metabolic adaptation, and lifestyle. It’s necessary to evaluate your current anatomy, metabolic rate, and diet to identify the best approach. A comprehensive review of your case, including labs and imaging, would help determine the next steps for optimizing your results.

Due to the initial lap-band procedure, the success of a revision to the existing sleeve will potentially be minimal. For the following reasons: your metabolic setpoint was altered by your first restrictive procedure, revision to bypass is encouraged since it also causes malabsorption.
-Dr. PerezRenew Bariatrics

In order to examine the situation that you have been through, we should see your endoscopy test result. And, we should remember that sometimes sleeve revision should be performed with bypass. So, to say the best solution for you, I need some test results. Thanks

Solution for this is revisional surgery with gadtric bypasd surgery with adequate counting if bowel length during the surgery.

Even though Sleeve has better overall results, compared to Band, at times the restrictions can be less effective and therefor less weight loss. This is more common if you had a tight band and or slipped band with little oral intake.
You can try a revision to Gastric Bypass, but regardless of the procedure remember all that the surgery offers is a tool. More importantly is your diet and exercise for a long lasting results.

Hello, I am sorry to hear you are having issues with your weight. Personally, I do not recommend lap bands as they are not very efficient. In your case, based on your regain, it would most likely be most recommendable for you to get conversion sugery to a gastric sleeve.