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Weight Loss Surgery Revision for Renewed Results

If you’re considering revision, you’re not alone. Many patients experience weight changes or complications, and revision surgery is a normal, supportive step toward long-term success

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What Is Revision Surgery?

Revision surgery is a procedure performed to correct or modify a previous weight loss surgery. It may be recommended if a patient is experiencing complications, weight regain, side effects, or if the original procedure is no longer providing the desired results.

There are several types of revision surgeries, depending on the original operation and your current needs. These may include converting a gastric band to a sleeve or bypass, revising a sleeve that has stretched over time, or addressing issues like reflux, ulcers, or poor nutrient absorption.

At Eviva, we take a personalized approach to revision surgery—focusing on your unique health history, goals, and the safest path forward.

Common Types of Weight Loss Revision Surgery

Sleeve to Bypass

Patients who have experienced weight regain, reflux, or complications after a sleeve gastrectomy often find renewed success by converting to gastric bypass, which can improve symptoms and support further weight loss.

Band to Sleeve

Many patients with older adjustable gastric bands experience complications or poor weight loss. Removing the band and converting to a sleeve gastrectomy offers a more modern, effective solution with fewer long-term issues.

Candidates

Is the Revision Surgery Right for You?

Revision surgery may be the right option if you’ve had a previous weight loss procedure and are now experiencing complications, weight regain, or side effects that are affecting your quality of life. A personalized revision can help you get back on track with your goals.
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  • You’ve experienced weight regain after a previous bariatric procedure
  • You’re dealing with side effects like reflux, nausea, or intolerance
  • You’ve had a gastric band or older procedure that’s no longer effective
  • You’re committed to long-term lifestyle changes
  • You want a safer, more effective, and modern solution to support your health
Benefits

Why Have Revision Surgery?

Helps Restart Weight Loss

For patients experiencing weight regain, revisions can help you lose weight again safely and sustainably.

Improves or Resolves Complications

Revisions can address issues like reflux, band slippage, stretching, or ulcers.

Customized to Your Needs

Your revision is based on your anatomy, history, and goals. Not a one-size-fits-all approach.

Gastric Sleeve PATIENT SPOTLIGHT — Tina

“I truly believe having this surgery has saved my life.”

After a lifelong struggle with her weight, Tina turned to Eviva for support. With the Eviva team by her side, she lost over 160 lbs, reversed her high blood pressure and sleep apnea, and reclaimed her energy, confidence, and love for life.

Testimonials

Patient Before & After

Denice 

Gastric Bypass

Kendra 

Gastric Sleeve

Ali 

Endoscopic Sleeve Gastroplasty

Zuleica 

Gastric Sleeve

Cerissa

Gastric Sleeve

Lisa 

Gastric Sleeve

Providers

Providers that perform the Weight Loss Revision Surgery

Mimi Tan, MD

Bariatric & Metabolic Surgeon, Board Certified General Surgeon

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Profile picture of Dr. VanderWel wearing scrubs in front of blue background

Brandon VanderWel, MD

Bariatric & Metabolic Surgeon, Board Certified General Surgeon

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Smiling male doctor in a white coat with a yellow tie and blue shirt, sitting in a bright medical office.

Robert Landerholm, MD

Board Certified General Surgeon, Bariatric & Advanced Minimally Invasive Surgery

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Our Process

How our Bariatric Surgery Program Works

Step 1.
Schedule a Virtual Consultation

Meet with one of Eviva's world class surgeons to learn which procedure is right for you.

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Step 2.
Intake + Insurance Review 

Your Bariatric Pathway Coordinator (BPC) is here to help every step of the way—navigating insurance approvals, clinical milestones, or walking you through the self-pay process.

Step 3.
Surgery Day

Your journey begins today—and you’re in the best hands. Our streamlined outpatient approach means most patients are home the same day, recovering comfortably and confidently with support from our experienced team.

FAQ

Most Popular Revision Questions

Why would someone need a revision surgery?

Common reasons include weight regain, unresolved or new health issues (like reflux or ulcers), complications from the original surgery, or changes in anatomy over time. Revision surgery helps correct or improve these outcomes.

The most common revisions we perform are converting a gastric sleeve to a bypass, or removing a gastric band and converting it to a sleeve or bypass. Your specific revision will depend on your previous procedure and current needs.
While revisions are generally safe, they can carry slightly higher risks due to scar tissue or anatomical changes. At Eviva, our surgeons are highly experienced in revision procedures and take every precaution to ensure your safety.

Many patients see renewed weight loss after revision surgery- especially when combined with supportive care and long-term lifestyle changes. Results vary depending on your original surgery and current health.

Sometimes. Coverage varies by plan. Some insurance providers have a “one weight loss surgery per lifetime” policy, while others may only approve revisions if there is evidence of a mechanical failure or medical complication. Our team can perform a benefit check and let you know exactly what your plan covers before moving forward.

Procedures we offer at Eviva

Our surgeons work closely with you to determine which weight loss procedure best matches your goals, medical needs, and lifestyle. From advanced laparoscopic techniques to non-surgical endoscopic procedures, each option we offer is backed by proven outcomes and long-term success. We also offer revision surgery for patients who’ve had prior procedures and need additional support.

Minimally Invasive Laparoscopic Surgeries

Gastric Sleeve (LapSleeve®)

3D illustration of a stomach after sleeve gastrectomy, showing the reduced, tube-shaped stomach with surgical sutures.
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Gastric Sleeve Resources

  • Overview: The gastric sleeve, or sleeve gastrectomy, is a laparoscopic procedure where approximately 80% of the stomach is removed, leaving a tubular “sleeve” that limits food intake.

  • How It Works: By reducing stomach size and removing the hunger-inducing hormone-producing part (fundus), it decreases appetite and promotes satiety.

  • Benefits: Patients typically experience a 25–30% total body weight loss. The procedure also improves conditions like type 2 diabetes, hypertension, high cholesterol, and sleep apnea.

  • Ideal Candidates: Individuals with a BMI over 35. It is also frequently performed on BMI between 30–35.

  • Recovery: Most patients go home the same day. Recovery involves a staged diet starting with liquids and gradually progressing to solids over several weeks.

Gastric Bypass

3D illustration of a stomach after gastric bypass surgery, showing the small pouch connected directly to the small intestine, bypassing the lower stomach.
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Gastric Bypass Resources

  • Overview: Gastric bypass is a laparoscopic procedure that alters both the stomach and small intestine to reduce food intake and calorie absorption. A small pouch is created at the top of the stomach and connected directly to the small intestine.

  • How It Works: The procedure limits how much food you can eat and bypasses part of the intestine to reduce calorie absorption. It also influences hormones involved in hunger and blood sugar regulation.

  • Benefits: Patients may lose 30–35% of their total body weight. Gastric bypass has strong results for resolving type 2 diabetes, GERD, and metabolic syndrome.

  • Ideal Candidates: Individuals with a BMI over 35, especially those with type 2 diabetes, severe acid reflux, or complex metabolic conditions.

  • Recovery: Most patients go home the same day. Recovery includes a gradual diet progression and routine follow-ups for long-term support.

Gastric Band (LapBand®)

3D illustration of a stomach with an adjustable gastric band in place, showing the band around the upper portion and connected to a port.
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Gastric Band Resources
  • Overview: The lap band involves placing an adjustable silicone band around the upper portion of the stomach, creating a small pouch to restrict food intake.
  • How It Works: The band creates early satiety by limiting how much food the pouch can hold. The tightness of the band is adjusted through a port placed under the skin.
  • Benefits: Less invasive with no stomach cutting or stapling. Adjustable and reversible. Typically results in 15–20% total body weight loss.
  • Ideal Candidates: Patients who prefer a reversible option or who may not qualify for sleeve or bypass procedures.
  • Recovery: Same-day discharge is common. Return to work within a few days. Band adjustments are performed in the clinic as needed.

Non-Surgical Endoscopic Procedures​

Endoscopic Sleeve Gastroplasty (Endosleeve)

3D illustration of a stomach after endoscopic sleeve gastroplasty (ESG), showing internal sutures reducing the stomach volume without surgical removal.
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Endosleeve Resources
  • Overview: The lap band involves placing an adjustable silicone band around the upper portion of the stomach, creating a small pouch to restrict food intake.
  • How It Works: The band creates early satiety by limiting how much food the pouch can hold. The tightness of the band is adjusted through a port placed under the skin.
  • Benefits: Less invasive with no stomach cutting or stapling. Adjustable and reversible. Typically results in 15–20% total body weight loss.
  • Ideal Candidates: Patients who prefer a reversible option or who may not qualify for sleeve or bypass procedures.
  • Recovery: Same-day discharge is common. Return to work within a few days. Band adjustments are performed in the clinic as needed.

Gastric Balloon

3D illustration of a gastric balloon placed inside the stomach to aid weight loss.
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Gastric Balloon Resources
  • Overview: A gastric balloon is a temporary device inserted endoscopically and filled with saline to occupy space in the stomach and limit food intake.
  • How It Works: The balloon takes up stomach space, promoting earlier satiety and reducing meal sizes. It is removed after approximately six months.
  • Benefits: Non-surgical and reversible. Can aid weight loss of 10–15% of total body weight when combined with lifestyle changes.
  • Ideal Candidates: Individuals seeking short-term weight loss support or those preparing for another procedure like surgery.
  • Recovery: Minimal downtime. Patients may experience nausea or discomfort for the first few days. Normal activities resume quickly.

Revision​ Procedures

Laparoscopic & Endoscopic Revision

Gastric Revision 3d Stomach
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Revision Resources

  • Overview: Revision surgery involves modifying or converting a previous weight loss procedure—such as converting a Lap Band to a Sleeve or Bypass—when initial results are inadequate or complications arise.

  • How It Works: Depending on the patient’s history and current needs, the revision may involve removing or modifying existing devices, reshaping the stomach, or rerouting the intestines.

  • Benefits: Offers a second chance at weight loss success. Can resolve issues such as inadequate weight loss, band slippage, reflux, or weight regain.

  • Ideal Candidates: Patients who had prior bariatric surgery but experienced complications, minimal results, or weight regain.

  • Recovery: Varies by procedure. Most are still performed laparoscopically with a focus on minimal downtime and tailored aftercare.

How can we help you?​