revisions and more revisions

The lap band is in NO way a malabsorption surgery. It restricts. When you refer to malabsorption from that particular surgery, I'm assuming you are referring to the fact that you vomited constantly and therefore were unable to receive the necessary nutrients your body needed?? From what I've read on several posts regarding DS, it would seem that your BMI is rather low to be a good candidate for this particular surgery. Be careful with certain surgeons, because they will definitely take your money and claim to have done a DS but perform a different type of surgery. I hope you find a surgery that works with your needs  all the best 😊

It seems like a lot for 45 pounds but I am well aware that the staircase method happens with both gaining and losing so you are the best judge
of what you really need.

After 18 months I'm still in the losing phase so I self-restrict to mostly protein but I've tried enough food samples that I know I didn't come out with
any real restrictions on what I can eat in moderation, and I rarely want to eat more than that anyway. Very different from my pre-op days.

Not a free pass forever although many go through a honeymoon phase the first year or 2. You will get to the point where you can eat past your
DS.

I've worked pretty hard on my vitamins and you will have to make a big effort in that regard too but I find it worth it.

Good luck,

Pete

First of all, bounceback weight shoud be expected.  The average would be 25% of ewl, which you're only a little bit higher than.  You're too small for a revision, so I wouldn't even consider that.  You want to examine what you're eating.  You want high protein/low carb.  Act like it's all brand new again.  You're not a lost cause with the sleeve yet.

Well, Janet, I believe you are a poor candidate for the DS.  You believe the Lap Band has a malabsorption component, which it absolutely DOES NOT.  You say the Lap Band ruins teeth?  False.  If that were a proven side effect, the American Dental Association would have studies and papers littering the internet.  What I suspect you refer to is acid erosion of the enamel, which can be from several causes.  GERD, vomiting, nighttime acid reflux, drinking carbonated beverages, eating acidic foods, and heredity.  Notice Lap Band was not listed. 

You have much learning to do before you even consider the DS. 

The acid from puking everything and the horrible acid reflux is what damaged the teeth.. (ask my dentist and my doc),, which of course of listed as side effects of the lap band, correct?    I never said the Lap Band was a malabsorption component..  I said I certainly didn't absorb anything as everything came back up.... You certainly take everything literal now don't you..   If you puked for the 2 years I did,  without the band being filled and without it being slipped...(I had endoscopy to check)  maybe you would have a better appreciation....  I havnt touched a carbonated beverage since 2009 btw,  I don't do Rice, Pasta, the center of bread, desserts, donuts and etc... in fact anything that expands... So what do you think I need to learn about the DS  in your humble opinion???

i have to agree with most other posters here.  have you really analyzed what your have been eating and drinking.  Maybe I'm a bit confused here but it seems you want to have your cake and eat it too, so to speak.  You have consulted with numerous physicians and they all tell you what you want to hear, that it if you do this procedure it will take the weight off that you have gained.  So you found someone who will tell you what you want to hear, and I guess you are willing to pay for it.  

But in the long run, there's not much more anyone can say.  You've had lap band, you gained, so you had a revision, then you gained, now you want to do it again, because you gained.  So what happens the next time you gain and let me just say you will gain because obviously refused to really look at your own behavior as the root cause of your weight gain.

But it is your money to burn and it is your body and your choice, but it is just so sad that you come here looking for what, I'm not sure.  You obviously won't take responsibility for your own behavior and will just run back to a dr. in Mexico who ways this is the one that will work.  How many times have you heard that?

My advice;  Run, don't walk to the nearest therapist.

Instead of running to another surgery have you thought of counseling as an alternative?  You've already had 2 WLS surgeries along with plastics yet you are not happy with the results.  Maybe the problem isn't with your weight but much deeper.  Something to consider.

Maybe instead of the continuous demands of revisions.  You should use what they gave you and stop eating what you aren't supposed to.  Eat protein, drop the carbs, drink water and exercise. 

What Chili said. ^^^

ANOTHER revision, even a DS, won't help you if you cannot control what you eat.  Poor food choices with a DS can lead to nasty gas and diarrhea.  Poor food choices with RNY can lead to diarrhea or dumping syndrome.

Those of us who are maintaining our weight loss are doing it by being very diligent about our food choices and our portion sizes (we eat until sufficiently satiated, NOT until completely full, and we choose to eat treats and higher calorie/sugar/fat foods only occasionally).  It takes hard work to maintain, and there is no magic surgery that allow you to eat anything you want.

Counseling will do more to help than yet another surgery.

Lora