Surgical Weight Loss Solutions

If your Body Mass Index (BMI) is 35 or over and you have unsuccessfully tried numerous methods to lose weight, surgery may be a better and safer option for you. Premier Weight Loss Solutions has an experienced team to help you lose significant weight and improve your overall health.

We specialize in a number of weight loss surgeries, including the LAP-BAND® System and Realize® band for laparoscopic adjustable gastric banding. Our surgeon also performs the laparoscopic Roux-en-Y (gastric bypass) and laparoscopic sleeve.

We’ll meet with you and provide an extensive evaluation before surgery as we decide together the type of surgery that’s best for you. 

Learn more about these weight loss surgeries offered by Premier Weight Loss Solutions:

Adjustable Gastric LAP-BAND® System

The LAP-BAND® System (Laparoscopic Band) is an adjustable, belt-like band placed around the upper part of the stomach. With the LAP-BAND, food takes longer to pass through your stomach, so you feel full sooner. And feel full longer.

This helps you lose weight because:

  • Less food is digested at one time
  • Your brain has more time to tell your body to stop eating
  • Although you control how much food you eat, the LAP-BAND slowly helps your body adjust to a new way of eating. It expands or contracts around the upper stomach to regulate the flow of food.

LAP-BAND may be for you if your BMI is at least or equal to 30 or greater with another weight-related health problem. However, at this time, most insurance companies do not recognize the BMI of 30-34 as a qualifying requirement for obesity surgery.

How It Works

The LAP-BAND is connected to a port placed just under the skin. Your surgeon can tighten or loosen the band by adding or removing saline through the port. This saline is the "key" that adjusts the size of the band.

  • If the band is too loose, and you don’t lose weight, your surgeon can add saline to tighten it.
  • If the band is too tight, removing saline will loosen it and allow more food through.

This laparoscopic surgery usually takes 45 minutes to one hour 45 minutes.

Advantages of LAP-BAND Surgery

  • It’s reversible.
  • It’s minimally invasive.
  • Little anesthesia is needed.
  • It doesn’t cause much trauma to the body.
  • Recovery is quick. Some of our patients can be discharged the day of surgery. Other patients stay a little longer, usually under 24 hours.

After Surgery

  • Most patients recover quickly, and can drive and work in just three to seven days.
  • Follow-up visits for band adjustments (saline fills) take about 15 to 20 minutes every six to eight weeks. These are done in the office under local anesthesia.

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Adjustable Gastric REALIZE® Band

The REALIZE Adjustable Gastric Band (the Band) is a surgically placed band that helps treat morbid obesity (being 100 pounds or more over ideal body weight). It’s only used for people who have:

  • A Body Mass Index (BMI) of at least 40
  • A BMI of 35 and a co-existing health problem
  • Tried supervised diets, exercise, behavior modification, and other weight loss programs without success

How It Works

The Band is used to create a small opening (stoma) and a small stomach pouch. This controls hunger and helps people feel full with less food.

Advantages of the REALIZE Band

  • It’s reversible.
  • It’s minimally invasive.
  • Little anesthesia is needed.
  • It doesn’t cause much trauma to the body.
  • Recovery is quick. Some of our patients can be discharged the day of surgery. Other patients stay a little longer, usually under 24 hours.

After Surgery

Most patients recover quickly, and can drive and work in just three to seven days. Follow-up visits for band adjustments (saline fills) take about 15 to 20 minutes every six to eight weeks. These are done in the office under local anesthesia.

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Laparoscopic Gastric Sleeve

Laparoscopic sleeve gastrectomy (sometimes called SG) is a newer weight loss surgery where the surgeon forms part of the stomach into a banana-sized pouch (or "sleeve"). The rest of the stomach is removed. There is no bypass involved. Gastric sleeve surgery may be for you if your Body Mass Index (BMI) is equal to or more than 35.

How It Works

The smaller stomach sleeve holds less, resulting in weight loss. This surgery keeps the pyloric valve intact, so your stomach empties normally and allows you to feel full. Long Long-term results aren’t available yet, but early results show patients are losing 33 percent to 83 percent of their extra weight – similar to gastric bypass surgery.

Advantages of Laparoscopic Gastric Sleeve

  • Fewer food restrictions
  • Less hunger
  • Lower risk of malnutrition
  • No intestinal bypass
  • Suitable for high-risk patients
  • Less invasive than gastric bypass
  • No Dumping Syndrome (when undigested food is "dumped" into small intestine too quickly, causing cramps and nausea)

After Surgery

  • Hospital stay is usually one to two days
  • Follow up with surgeon is usually at two weeks after surgery, six weeks, every three months, and annually for life

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Laparoscopic Roux-en-Y Gastric Bypass

This is the most common bariatric surgery in the nation. In the laparoscopic Roux-en-Y gastric bypass, the surgeon makes several small incisions and inserts laparoscopic instruments to do the surgery. All insurance companies require a Body Mass Index (BMI) of equal to or greater than 35 with co-morbid conditions, or a BMI equal to or greater than 40.

How It Works

This surgery creates a small pouch for food at the upper end of your stomach. It can hold about 1/2 oz. of food. This pouch is connected to the upper small intestine by a new small outlet (anastomosis) about 1/2 inch (1.2 cm) in diameter. The food you eat bypasses most of your stomach. It often permanently reduces appetite. This surgery limits how much food you can eat at one time. At first you may absorb fewer calories (called malabsorption). This surgery often gives quick weight loss results at first, and stabilizes over time to a weight that is healthy for you.

Advantages of Laparoscopic Roux-en-Y

  • Weight loss can be dramatic – often 60 percent to 70 percent of extra weight.
  • Many people successfully keep the weight off.

After Surgery

  • Most people are able to walk around the evening of surgery.
  • Hospital stays are usually short – just a couple of days.
  • You’ll need regular follow-up care until weight loss stabilizes. After that, see your doctor about twice a year.

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Learn More About Weight Loss Surgery