Revisional Bariatric Surgery in Melbourne

Revisional bariatric surgery is a procedure done to correct or improve the results of a previous weight loss surgery. It may be required due to complications, poor weight loss outcomes, or changes in health status.

The process is more complex than primary bariatric surgery and requires a personalised approach. The goal is to ensure long-term weight management while addressing any physical or medical issues resulting from the original procedure.

Understanding the reason for revision is important. These can range from medical complications to insufficient weight loss. Each patient’s situation is different, and the goal of a revision is always to support better long-term health and outcomes.

Common reasons include:

• Weight regain: Some people may slowly gain weight years after surgery because of changes in their body or lifestyle habits.

• Insufficient weight loss: The initial surgery might not have led to the expected or required level of weight loss.

• Complications: Issues such as ulcers, reflux, or severe nausea can sometimes arise and may require surgical correction.

• Band-related problems: For those who had gastric banding, slippage, erosion, or intolerance can occur.

• Anatomical changes: Over time, the stomach or small intestine may stretch or shift, reducing the surgery’s effectiveness.

• Improved surgical options: Advances in bariatric techniques may offer better, safer alternatives compared to older procedures.

During your consultation, Dr Niruben will review your history, assess your current health, and recommend a suitable approach customised to your goals.

Revisional surgery isn’t a one-size-fits-all approach. The type of revision depends on your initial surgery, current condition, and expected goals. Here are some examples of common procedures:

• Gastric Band to Sleeve Gastrectomy: If the band causes problems or doesn’t help with weight loss, opting for gastric sleeve surgery may be recommended.

• Gastric Band to Gastric Bypass: Another option for those with poor outcomes or intolerance to gastric banding.

• Sleeve Gastrectomy to Gastric Bypass: If a sleeve is no longer effective or is causing reflux, converting to a gastric bypass may provide better results.

• Adjusting a Gastric Sleeve: In cases where the stomach pouch has stretched, a sleeve can be reshaped or converted.

• Revising a Gastric Bypass: If the original bypass hasn’t delivered adequate weight loss, adjustments to the bypass anatomy may be considered.

• Removal of Gastric Band: For those no longer wishing to maintain the band due to discomfort or complications.

Each revision type offers unique benefits and considerations. Your plan will be customised to suit your body and support long-term weight loss.

Revisional bariatric surgery is suitable for people who have previously undergone a weight loss procedure and are experiencing:

• Inadequate weight loss or weight regain

• Health problems caused by the original procedure

• Physical complications such as band slippage, ulcers, or severe reflux

• Difficulty maintaining healthy eating due to discomfort or intolerance

• A desire to change the original surgery type for better long-term success

An individual assessment is always the first step. Dr Niruben Rajasagaram works with each patient to understand their health history, lifestyle, and expectations before recommending a path forward.

Revisional surgery allows patients to achieve better results if their initial procedure was not as successful as anticipated. With the right approach, patients can experience meaningful improvements.

Some of the key benefits include:

• Renewed weight loss potential: Helps restart your weight loss journey if you've gained weight back or stopped losing.

• Improved health outcomes: Reduces the risk or severity of obesity-related conditions like diabetes, sleep apnoea, and high blood pressure.

• Reduced complications: Corrects issues such as reflux, ulcers, or chronic discomfort caused by the initial surgery.

• Updated surgical methods: Take advantage of modern techniques that are often safer and more effective than older procedures.

• Better quality of life: Helps you regain energy, mobility, and confidence in your body and daily routine.

• Personalised treatment plan: The revision is personalised to your specific needs, ensuring a more targeted and personal approach to care.

While revisional bariatric surgery can be life-changing, it’s important to be aware of the potential risks. These may include:

• Longer surgery time due to scar tissue or complexity

• Increased risk of infection or complications compared to first-time surgery

• Slower recovery depending on the type of revision performed

• Nutritional deficiencies that require ongoing monitoring

• Possibility of needing further revision in rare cases

Dr Niruben Rajasagaram ensures that every patient is fully informed about risks, alternatives, and realistic outcomes—providing honest, balanced advice throughout the process.

Dr. Niruben Rajasagaram brings years of experience working with patients who require support after their initial bariatric procedure. He is fully aware of the challenges associated with weight regain or surgical complications, which is why his approach focuses on the individual, addressing both their unique needs and the surgical process.

Located in Melbourne, Dr Niruben offers:

• A personalised, compassionate approach to care

• Detailed assessments for surgical plans

• Open communication and recovery support

At our weight loss centre, Dr. Niruben provides a supportive and positive approach to help patients feel confident throughout their weight loss journey.