Revision

You wouldn't get a revision to lose 20lbs.  These are always the hardest to lose, it doesn't matter which tools you used to get there.  My suggestion is to contact your dietician/nut and go over what you are eating and doing.  See if your portions (increase protein, increase water, decrease something) needs to be changed to get you to your goal.  As for exercise, you may just need to switch things up a bit. If you always do the same thing, then your body is used to it.  Do something different, and your body will react differently.

Cathy

Yes they do revisions in Ontario but they are reserved for people who are morbidly obese.  

The last 20 lbs are lost slowly though hard work, limiting carbs and exercise.   There is no surgery for the last 20 lbs.  it's going to be slow now and going above and beyond.