Hi there,
A few months ago I have had my plastic surgery especially rhinoplasty technique and some small facial modifications. My surgeon had conducted a class and taught me how to recover easily after the surgery. And he also advised me to follow some pre-surgery rules that may help during the surgical process. Before the class, I was very conscious about the surgery and confused to do or not to do the surgery. He boosts my confidence level and makes me a better candidate for the process. Thank God! I'm recovering slowly without experiencing any complications.

Since the pandemic, their virtual meetings have really improved too.

Your old stomach before the VSG could hold somewhere between 32 and 48 ounces of food at a time. Your sleeve could hold a few ounces. When I taught classes for pre-surgery patients, I did this demonstration.

I had an empty 2-liter bottle of soda. Next to the empty bottle I placed the cap from the bottle. The bottle represented the old stomach, the cap the new stomach. There is a dramatic difference in capacity.

With the new tiny stomach, weight falls off effortlessly. But after a few years, we learn how to eat as much as before the surgery. We learn to eat more servings of smaller amounts, usually eating a little bit at a time during most of the day.

This happens whether we have trauma in our lives or if we are perfectly happy and content. Most gain back twenty pounds in third year after surgery. By the fifth year at least half of patients have gained back 50 pounds. Many have gained back all of their lost weight before ten years.

You still have your sleeve. It may have stretched out from the overeating, but it never can get back to the size of your old stomach. A revision might make it an ounce or two smaller, but we have learned how to eat plenty of food with a small stomach.

The 20 pound loss is because of the diet to prepare for the surgery and the liquid diet a few weeks after while it heals. After that people go right back to eating as they always did and that is the end of the weight loss.

The only way to lose weight again is by eating less calories and burning more calories. A revision will not make that happen. What will make it happen is getting on a diet and exercise program and sticking with it.

I had RNY in 2007. Yesterday I was 12 pounds over my weight goal. I am working on losing those 12 pounds, but will be thrilled if I lose 6 of them in the next few months.

I have gained weight and taken it off again several times since surgery. I follow Weigh****chers and attend a virtual meeting every day. I love WW because I can have any food I want as long as I track it. I get great support from their team. I also exercise for 30 minutes at least 4 times a week.

I never again will have quick weight loss like I did after surgery. I accept the fact that I must be on a diet for life if I want to avoid weight gain. The revision that I had was in my brain.

I have never heard of going from a RNY to a sleeve. I have heard of making the opening in the stoma tighter. Many surgeons convert a sleeve to RNY. But I have never heard of one that reversed RNY to a sleeve.

Converting a RNY to a sleeve would be a complicated procedure if that is what he is actually doing.

Taking down a RNY is only done by a few surgeons in the world. It is both complicated and dangerous.

I would do a lot more research and get other opinions before agreeing to doing this.

That is true and every person is different. I would love to hear more about what you are having done and what the results have been with other patients.