Please contact your Retina doctor today.  Thanks for the inquiry.  

There are 2 options for fertility treatment after having a tubal ligation; tubal reversal surgery and in vitro fertilization (IVF.) Tubal reversal is a procedure in which a physician reconnects your fallopian tubes. Depending on many factors, this surgery is not able to be performed. If the physician is able to reconnect your tubes, your chances of conceiving naturally are lower than with IVF. There are pros and cons to both procedures; neither option is typically covered by any insurance plan. Ultimately, your best option is to meet with a HealthCare provider who is able to fully discuss both options is a good first step. In addition to meeting with a reproductive specialist, testing will ensure that you are able to produce healthy eggs and that your partner has adequate sperm, to fertilize your eggs. You and your healthcare provider will be able to work together and determine the best option for your individual situation.

Let me begin by saying congratulations on your weight loss! You will probably need a Mastopexy  (Breast Lift) with a possible Breast Augmentation (Breast Implants). These procedures are considered cosmetic therefore they are not covered by insurance. If you’re interested in a free consultation please call us and schedule an appointment.

Marginal ulcers are not generally a basis for a revision, and neither is weight regain. Most insurance companies will pay for a revision if an aspect of the original surgery is broken – for example along the staple line. Prevention of ulcers is the first step, which would include avoiding smoking, alcohol, and NSAIDs. If you are already avoiding those three things, then it may be worth a diet analysis with a physician or dietitian that specializes in post- weight loss surgery follow up. We have very successfully treated weight regain through our non-surgical weight loss management program under the guidance of our obesity medicine specialist with the collaboration of our clinical psychologists and dietitians.

Yes, it is possible.  However, keep in mind that there will be only a small gastric remnant if a sleeve has already been performed, as opposed to having a large gastric remnant with a gastric bypass is performed as the initial operation.  Without a gastric remnant, should problems arise with the gastric bypass, the options for solving the problem are more limited without having a large gastric remnant.