What if I Gain the Weight Back?

Weight gain after bariatric surgery can be managed through lifestyle changes or revision surgery. Our team explains how to prevent post-surgical weight gain.

Smiling woman sitting on couch

If you experience weight gain after bariatric surgery, the causes may be varied and can change from patient to patient. Although our doctors can perform revision surgery to help treat weight recovery, often times some changes in your diet and support system can ultimately be the greatest solution. At LIMARP® in Tijuana, México , our integrative bariatric program includes nutritional counseling and resources for support groups anytime, before or after your surgery, so you never lack the support and advice you need.

Why Do Some Patients Gain Weight after Bariatric Surgery?

Statistically, some patients will gain some weight back within two to three years after bariatric surgery. Even so, most individuals still keep approximately 70 percent of their excess weight off after the five-year mark. The most common factors affecting weight gain after bariatric surgery include:

  • Lack of a support system: Emotional support is essential before, during, and after bariatric surgery. Patients who lack this type of encouragement are more likely to gain weight following their procedure. Our team at LIMARP can provide you with special support at any time during your treatment.
  • Psychological state: Decreased feelings of well-being or increased urges to overeat can lead to weight gain after bariatric surgery. Additionally, sugar addiction is a significant reason for post-operative weight gain.
  • Alcohol or drug abuse: Individuals who abuse substances are far more likely to gain weight after bariatric surgery. If you have questions regarding this possibility, it is important that you address them with out psychologists so you can understand the concept of addiction transfer and to gain the tools needed to avoid it.

Modifications ranging from support groups to additional treatment can help minimize weight gain after bariatric surgery.

How to Prevent or Reverse Weight Gain

A small amount of weight gain is likely once you hit your lowest post-surgical weight. There are a few recommendations to help you maintain your progress after surgery:

  • Don’t reject the specialized support we provide for weight loss:Patients who actively participate in therapy for weight loss have a BMI that is approximately 10 percent lower than those who do not. To help our patients achieve their goals, LIMARP provides nutritional counseling and resources for support groups.
  • Foster healthy habits before surgery: You will be placed on a diet prior to bariatric surgery. This will help prepare you for your new lifestyle and reduce your BMI. Any binge-eating habits should be addressed proactively. Those who seek treatment prior to surgery are less likely to gain weight afterward.*
  • Lose weight before bariatric surgery: Losing a substantial amount of weight before surgery can have a tremendous positive impact on your results. Statistically, the more weight lost prior to surgery, the more success you will enjoy.

Revision Surgery Options

Despite following all of these recommendations, weight gain may still occur in some patients. If diet and exercise fail to produce the desired results, you can be evaluated for revision surgery. Two common methods include:

  • Reducing stoma size: The area between the pouch and small intestines is called the stoma. In some patients, the stoma may become enlarged after surgery. If this occurs, adjustment of the connections can be attempted to remedy the problem.
  • Reduce the stomach pouch: Over time, the stomach pouch may stretch out. If this should happen, your surgeon reduce through different techniques.
    If you have experienced weight gain after bariatric surgery, Dr. Liza María Pompa can perform a comprehensive assessment to determine if revision surgery is right for you.

Contact LIMARP for More Information

If you are concerned about weight gain after bariatric surgery, reach out to a team member for more information. Contact us online or call our office at (619) 270-8823.