Your revision plan comes from Dr. Reza Keshavarzi, a fellowship-trained bariatric surgeon who performs gastric bypass and oversees medical weight loss, so the fix matches why your bypass stopped working.
Gastric bypass revision is a second procedure that adjusts an existing Roux-en-Y bypass when weight has come back or the original changes no longer work as they should.
Over time, the pouch or the opening between the pouch and the intestine can stretch. Portions grow, fullness comes later and hunger returns. A revision restores that restriction, changes how the intestine is routed, or both.
Revision is not one standard operation. Dr. Keshavarzi starts with an upper endoscopy, called an EGD, to see the pouch and connection directly, then recommends surgery, medication or a combined plan. Patients from Miami Gardens see him at our South Miami office for every visit.
Dr. K conducts every consultation himself and reviews your original surgery first. Patients most often ask about revision in these situations.
Regain does not always mean surgery. Dr. Keshavarzi also oversees medical weight loss and nutrition coaching, so some patients get back on track without a second operation.
Book a ConsultationBecause Dr. Keshavarzi performs bariatric surgery and oversees medical weight loss, he compares every route with you rather than defaulting to one.
| Approach | How it works | Often considered when |
|---|---|---|
| Surgical revision | The pouch or outlet is made smaller, or the intestinal limbs adjusted, through small incisions | Endoscopy shows stretching and regain is significant |
| GLP-1 medication | Weekly injections reduce appetite alongside your existing bypass | Regain is moderate or surgery is not the right next step yet |
| Nutrition reset | A personalized plan rebuilds portions, protein goals and routines | Habits have drifted while the bypass itself still works well |
| Combined plan | Medication, nutrition support and, when needed, surgery together | One approach alone is unlikely to hold your results |
Weight loss injections are stopped at least 2 weeks before any surgery, so Dr. K plans that timing with you when medication comes first.
MD, FACS, FASMBS. Board-certified bariatric surgeon
Dr. Keshavarzi, known to patients as Dr. K, is our lead surgeon with decades of experience in bariatric and minimally invasive surgery. He performs gastric bypass, the gastric sleeve, ESG and the ORBERA balloon, and oversees medical weight loss.
That range matters for revision. He knows how a bypass is built, can perform your endoscopy himself, and tells you plainly whether surgery or a nonsurgical plan suits you better.
Our team supports you through preparation, and your surgery date depends on how quickly your required testing is completed.
Dr. K reviews your original surgery, weight history, eating patterns and medications, and explains which options are realistic for you.
An EGD and medical clearances are required. An EGD from the last 5 months is accepted, or Dr. Keshavarzi performs it himself.
A pre-surgery diet prepares your body for the procedure. Weight loss injections are stopped at least 2 weeks before surgery.
Dr. Keshavarzi makes the planned changes through small incisions. You recover in the hospital before going home.
Many of our surgical patients return to work within 4 to 7 days and avoid lifting over 20 lbs early on. Dr. K confirms your revision timeline.
Diet stages, vitamins and regular visits keep results on track. Dr. K stays reachable on his own cell phone during recovery.
Revision pricing depends on what your endoscopy shows and which approach you choose, so Dr. K gives you an exact figure after your evaluation.
Cherry is accepted for surgery, and our team walks you through financing during your consultation.
"He has been there for me from the beginning of my journey until now."
Sherly Guillaume, Google review
"He has been there the whole process, provided his cell phone to make sure he could be reached at all hours."
Yesi, Google review
"They make you feel so comfortable and are so positive. I always look forward to my appointments."
Mikey Marte, Google review
Yes. A bypass can be revised by making the pouch or its outlet smaller again or by adjusting how the intestine is routed. Whether surgery is the right step depends on your endoscopy, and some patients do better with medication or a combined plan first.
It depends on whether you need surgery, medication or both, so Dr. K quotes an exact figure after your evaluation. Cherry financing offers 24 months at 0% interest.
Medical clearances, an upper endoscopy and a pre-surgery diet come first. Testing can be done at our clinic or an outside facility.
It can. Weight loss injections reduce appetite and are used on their own or alongside revision surgery. Dr. Keshavarzi oversees medical weight loss himself and plans when to stop injections before any operation.
Yes. Patients from Miami Gardens come to our South Miami office for consultation, testing and follow-up. Dr. K also stays reachable on his own cell phone while you recover.
Meet with Dr. Keshavarzi to learn why your bypass stopped working and which option fits you, whether surgery, medication or both.
