The LAP-BAND® procedure is one of several surgical solutions offered by Marina Weight Loss to patients working to overcome obesity. LAP-BAND is actually a trademarked brand name for one version of the laparoscopic adjustable gastric band. Currently there are two gastric bands available in the U.S. – the LAP-BAND, made by Allergan, and the Realize Band, made by Ethicon.
The lap band is placed around the upper part of the stomach and filled with saline (salt water). This creates a new, smaller stomach pouch that can hold only a small amount of food. This new, smaller pouch fills quickly, so you feel full faster, and the food moves slowly out of the upper pouch, so you feel full longer. As a result, you eat less and lose weight.
The LAP-BAND has been around since 1994, and over 600,000 have been implanted worldwide. The LAP-BAND was FDA approved in the U.S. in 2001, and is currently the most popular option for weight loss surgery in the U.S. Improvements in the device and surgical technique have resulted in a very safe and effective procedure with lower complication rates than the gastric bypass or sleeve gastrectomy.
The lap band adjustable gastric banding system is a tool to help you achieve sustained weight loss by limiting how much you can eat reducing your appetite and slowing digestion.
The lap band was designed as a laparoscopic procedure. This means that instead of making a large abdominal incision, the surgeon makes small incisions, through which he inserts a camera and specially designed instruments. These instruments allow the surgeon to perform operations very precisely while causing much less trauma to the patient’s body. Laparoscopic technique allows for quicker recovery, lower chance of surgical complication, and less patient discomfort. The operation can take less than an hour if performed by an experienced surgeon.
For the operation, which takes place at our Marina Del Rey facility in greater Los Angeles, you will be placed under general anesthesia, meaning you will be fully unconscious during this stomach surgery. At Marina Del Rey hospital we only work with anesthesiologists experienced in the treatment of bariatric patients to ensure that the procedure is performed as safely as possible.
Although lap band surgery is completely reversible, you should consider the lap band a lifelong commitment. Removal should only be considered if serious complications develop. There is usually significany weight regain if the lap band is removed.
After your lap band surgery is complete, you will awaken in a recovery room at Marina Del Rey Hospital, where our experienced medical team will ensure that everything is going smoothly. From recovery, you will be taken to one of our private bariatric suites where you will rest and recover until it is time to go home.
After your lap band operation, you will stay in the hospital for about a day. Within about one week, you will be able to return to your normal activity level — less time than with some other procedures.
Periodically, you will need to come in for adjustments and postoperative check-ups. This follow-up care is a normally scheduled part of the weight loss surgery process.
Further details of postoperative care will be worked out according to your personal requirements, and will be provided by our staff.
The costs of lap band surgery in Los Angeles can vary widely from region to region, as well as from patient to patient. The good news is that lap band surgery is widely covered by major insurance providers, including Blue Cross and Medicare, for those patients who meet the necessary criteria.
If insurance does not cover this procedure, our team members are experienced in helping patients explore payment options which are right for them, including affordable financing options.
While there are frequently costs associated with bariatric surgery, there is also a high cost to doing nothing. Increased medical costs, increased sick time, lost energy, health complications, decreased comfort, and lower life expectancy are all costs of ongoing obesity.
Insurance providers are increasingly recognizing the lap band surgery and covering it as a treatment for obesity. Depending on your coverage, you may have to meet a deductible or you may possibly have the entire cost paid for by your insurance plan. As a condition of coverage, many insurers require that the provider be recognized as a Bariatric Surgery Center of Excellence. This designation is given by the American Society for Metabolic and Bariatric Surgery to bariatric surgery centers that provide exceptional care and achieve consistently good results. Marina Weight Loss is proud to be a Center of Excellence.
Before your insurer pays for the lap band procedure, you must get the procedure approved. You should have documentation of your past weight loss efforts and proof that surgical intervention would benefit you. Marina Weight Loss can help you navigate the insurance hurdles. Please schedule a consultation with us if you'd like to know more.
If you do not have insurance, there are several options available to you for financing of the lap band. These financing options are also available for those patients who wish to finance their out-of-pocket or deductible expenses from their insurance plan.
If you have insurance coverage which pays for the initial surgery, any complications after surgery are generally covered by that same policy. For patients who elect to pay for the procedure themselves, Marina Weight Loss offers BLISCare – an affordable option to protect against the cost of a complication. Complications are not an issue faced by most patients; however, if you are curious we are happy to review this information with you.
To provide patients with payment options for their weight loss surgery, Marina Weight Loss has teamed up with BLIS, an Oregon company that provides financing specifically for bariatric surgery patients. Their payment plans allow more people who could benefit from weight loss surgery to have access to care. To find out more, please contact us.
The dietary recommendations for lap-band do not constitute a diet, in the sense of a temporary, out-of-the-ordinary meal plan meant to cause weight loss. Rather, after surgery, patients make a lifestyle adjustment to maximize the benefits of the surgery and promote good health.
A pre lap band meal plan will be outlined in preoperative consultations with your weight loss team. The pre-op plan is geared toward kick starting weight loss prior to the operation and getting the patients in the habit of mindful eating.
Our team will work with you to manage calories at a healthy level, and to make good food choices. The emphasis will be on lean protein, vegetables and fruit, and whole grains, while avoiding fried foods, sugary beverages, alcohol and other calorically dense foods, which offer little nutritional value.
You will be given more specific instructions by your weight-loss surgeon before the operation takes place, but keep in mind that every patient is different. Your plan will vary based on your weight loss goals and health condition.
To have your particular nutritional needs met, you will have to ensure you are getting adequate protein. Because you will be eating much smaller meals, you should ensure that all your post-lap-band diet meals begin with protein. Our dietitian will help you by providing guidelines for proper portions and good sources for your daily protein intake.
It is also important to eat mindfully after your lap band procedure. This means eating slowly, chewing carefully, and paying attention to your sensation of hunger. Avoid snacking in front of the TV or while engaged in other activities, and try to pre-plan your meals so that you don’t have to make food choices while you are hungry.
There are certain foods which you may have to avoid after lap band surgery. Thick bread or pasta, fibrous foods like asparagus or celery, or dry meat such as well done steak may have difficulty passing through the small opening created by the lap band. Tolerance of these foods varies from patient to patient, but taking time between bites and chewing thoroughly will help you to carefully assess which foods you can eat comfortably.
Additionally, alcoholic drinks should be consumed in moderation, and high calorie foods such as sugary drinks, processed carbohydrates and foods with excessive fat should be avoided if you want to make the most of your surgery and achieve your weight loss goals.
If you have considered the lap band, you undoubtedly have questions about the device, the procedure, and the changes the lap band will make to your life.
We encourage patients to learn as much as possible before surgery, and we provide a thorough pre-op education process to insure that all of our patients are informed, educated, and ready for success with their procedure.
Some questions you may have for your surgeon could include:
The general answers to these questions are available on our website. However, we are more than happy to answer follow-up questions, address specific concerns, and explain what you, in particular, should anticipate.
Many Los Angeles residents have had lap band success stories with Marina Weight Loss in Marina Del Rey. As a Bariatric Surgery Center of Excellence, our center and our surgical team meet a high threshold for experience in bariatric procedures.
A Center of Excellence must perform at least 125 bariatric operations per year; each individual surgeon must perform at least 50 annually, and must have performed at least 125 in his or her lifetime.
Dr. Jeremy Korman, Medical Director of the Marina Weight Loss program and Dr. Misra, bsriatric surgeon at Marina Del Rey have successfully performed over 1000 bariatric procedures.
Los Angeles residents looking for help in treating their obesity can be confident in their choice of Marina Weight Loss, a proven center for weight loss surgery in Los Angeles.
When you arrive at our facility for a consultation, pre-operative visit, or follow-up appointment, you will be greeted by our friendly, knowledgeable staff. At the time of your appointment, you will meet with the doctor who will perform your surgery and with whom you will develop a working relationship. You will also meet with the members of our staff.
Our medical professionals will clearly explain what they have observed or what they recommend that you do. We are satisfied that your visit has been a success only when we are certain that we understand each other's thoughts, we have identified any necessary short- and long-term goals, and we have mapped out a strategy to achieve them.
Before surgery, after surgery and on the days in between, our patients from all over Los Angeles monitor their diet, make sure their portions are reasonably sized, and ensure they get the recommended amount of exercise. Day-to-day effort leads to long-term success, and the patients who commit to healthful habits day in and day out are the most successful at keeping excess weight off.
The lap band is considered a very safe option for those who need surgical intervention to lose weight.
Because it is performed using less invasive methods and involves no cutting or stapling of the stomach, the lap band recovery time is shorter comparing to other surgical weight loss options.
As you wake up from the anesthesia after your procedure, you may feel some discomfort or nausea. These are common side-effects of any surgical procedure, and the specially trained nursing staff here at Marina Del Rey Hospital will provide attentive care and ensure that you are as comfortable as possible. The day after the procedure, you will have an X-ray taken so the doctor can confirm that the lap band is in its proper position.
Most patients go home from the hospital within 24 hours after surgery, and you should plan to have someone drive you home as you may be on medication, which could impair driving.
Your first post-op appointment will be about ten days after your lap band surgery, to make sure that you’re doing well and that everything is healing properly. Five weeks after your lap band procedure, you'll have your first adjustment appointment. At this time, we will check your weight loss and hunger levels, and may perform an adjustment to create a customized fit for your lap band to ensure optimal weight loss. An adjustment is a simple office procedure, during which saline is either injected or removed through the port that is connected to the band, which in turn tightens or loosens the fit.
The better question is: What can't you do after lap band surgery? The operation has helped many Los Angeles residents and patients across America to become more active, more engaged, more energetic, and more able-bodied.
That said, your body will need some time to recover from the operation. The day after surgery, you should be able to walk around the house, but you should still avoid strenuous activity and lifting any heavy object. You should be able to jog or do low-impact aerobics after two weeks, lift weights after six weeks, and swim or go in the spa after eight weeks. These are general guidelines, and may vary with the individual patient. Make sure you consult with your doctor or physical therapist as you ramp up your physical activity.
Marina Weight Loss, a distinguished lap band surgery Center of Excellence, has had the pleasure of meeting and helping many bariatric patients. We encourage our patients at every stage of the weight loss journey to come to a support group and meet other Los Angeles residents who are having the same experience. The meetings are at Marina Del Rey Hospital, in greater Los Angeles near the ocean. Interested? Call (800) 491-1977 to find out when the next one will be! You can also schedule a consultation online with one of our weight loss surgeons.
The lap-band procedure, like any of the weight loss surgery options available in Los Angeles, is a major undertaking. It's an important step in many people's lives as they fight obesity. But despite the excitement that can come when planning for a healthier, more active future, the day-to-day experience of an intensive weight-loss regimen can have its stresses. You shouldn’t have to do it alone! That's why many people choose to go to lap-band support groups after lap-band surgery.
Every month, Marina Weight Loss holds support groups for weight loss surgery patients at the campus of Marina Del Rey Hospital. In these groups, people find a safe forum to discuss the difficulties and the joys of life after weight loss surgery, including lap-band surgery. In addition to the monthly discussion topics, support group participants can ask questions, share stories, and give or request tips on all sorts of subjects, including:
We encourage all of our patients to participate in these support groups to help provide the encouragement and ongoing education that will optimize their success and satisfaction after weight loss surgery.
The decision to have weight loss surgery is a major one, and questions about which procedure to have and what life will be like after surgery can be overwhelming. Prospective patients are welcome to attend any of our support groups to hear inspiring stories from our successful patients, as well as to gain honest insight directly from people who have experienced this journey themselves.
After you've made your decision and had the procedure done, your excitement may be at its high point. This is the time to apply and reinforce the principles of your new, healthier life. Healthy eating habits are learned over time, and sticking rigorously to a diet will help you maintain your weight loss in the long run. Regular meetings with other patients like you, as well as members of our comprehensive support team, will help you to make the most of this critical period and cement the behavior, which will serve you for a lifetime.
As you get closer to your goal weight, and after you achieve it, the support group can be a great place to refresh your commitment to your healthy lifestyle. You'll be in "maintenance mode" soon enough, and the experiences of others who are on this same path can help. This is also a great forum for dealing with the hurdles of maintaining your weight loss long term, from a group of veteran patients who have been through it all.
We also encourage patients who are looking for a more one-on-one approach, or who have lived with the lap-band for some time, to participate in our Mentor Program. Providing motivation and sharing experiences and stories will surely help other patients who have also had the lap-band, and the satisfaction of helping can be a powerful motivator to maintain your own momentum and keep making progress. If you are interested in being a mentor, or in having a mentor, please ask us for more information about this exciting new program.
If you think the lap band might be for you, please call our weight loss clinic today at (800) 491-1977 and speak with our staff. We are a Los Angeles leader in successful weight loss, minimal complication, and patient satisfaction.
Patients seeking medical help for obesity often come to our office asking what criteria we use to determine who is a good candidate for weight loss surgery. We've prepared this list of traits to identify the ideal surgical candidates.
Body mass index, or BMI, is a statistic designed to estimate how much body fat a person has. BMI and body fat percentage numbers are not the same thing; BMI is just a scale to measure whether a person is a normal range. BMI is obtained by executing a mathematical formula with the person's weight and height; if the number is over 30, the person is obese.
Doctors used to restrict the lap band to people with higher BMIs. However, following evidence that the operation was also effective at controlling obesity and weight-related conditions in moderately obese people and did not pose an undue risk to patients who were healthy enough for weight loss surgery, the recommendation has been expanded to include some patients with BMI of 30 or higher.
While BMI is a more accurate measure of eligibility, you may be more comfortable thinking in terms of the weight you need to lose. Being 50 to 100 pounds overweight usually equates to a BMI over 30 and therefore qualifies you for surgery.
The Lap-Band is FDA approved for adults over 18 years of age. In some cases, surgery has been performed on younger adults as part of a clinical trial. When patients are still minors or are older than 60, special scrutiny may be given to each patient's individual case. This is because patients younger than 18 may still be developing and patients older than 60 are more likely to have complicating medical conditions. Each case is different and requires the evaluation of a weight loss surgeon.
One of the eligibility criteria for lap-band is duration of obesity. If you have recently gained a significant amount of weight, surgery may not be recommended, as it is intended to be performed on those who have tried over a long period of time to lose weight without success.
Just as you have to show that you've been obese for a certain length of time, to be considered for surgery, you will also have to demonstrate to your doctor that it is necessary because previous measures have failed. Many insurance companies require documentation of previous weight-loss attempts, including gym memberships, memberships in diet plans, and medically supervised weight loss programs. Lap-band surgery is a significant measure, and other options should be seriously attempted first.
Some patients' obesity is caused or aggravated by another health condition, such as hypothyroidism. The first step usually taken in these cases is to treat the underlying condition. Then, if the effect on weight is lessened and the patient becomes slimmer, weight loss surgery is not needed.
In addition, there are conditions that may make poor results more likely, such as inflammatory or cardiopulmonary disease, gastrointestinal problems, autoimmune issues, and others. If this is the case, surgery may not be recommended. Your doctor can advise you on the best way to treat these conditions and improve your health.
The patient must be not only physically prepared, but also mentally ready to meet the challenges that will arise post-surgery. The lap-band is not a one-way ticket to automatic thinness. Rather, it is like a sturdy walking stick, offering strong, necessary support as you make the long journey. It can help keep you from falling back, but it is your diet and exercise effort that will carry you forward.
Before surgery, each of our patients has a conversation with our staff psychologist, Dr. Marylin Calzadilla. Dr. Calzadilla is highly trained and experienced. She helps determine whether a patient is mentally prepared to take up this fight, and she counsels the patient on what he or she should reasonably expect after the surgery.
Are you prepared, mentally and physically, to leave unhealthy habits behind and to make strides toward better health? Are you willing to attend follow-up appointments at our center for lap-band adjustment? Are the risks, demands, and rewards clear to you? Are you determined to adhere to a structured program designed to improve your weight and the health conditions that it affects? If so, you may be eligible for lap-band surgery.
If you generally answered positively to the above questions, you may be an excellent candidate for surgery. Call us at (800) 491-1977 to set up a free consultation by registering online, and together we’ll see if lap-band surgery is right for you!
4650 Lincoln Blvd. Marina del Rey, CA 90292