We normally will start off tightening the band at four weeks after the preliminary operation. The adjustment is almost often performed in the office at the time of consultation. It does not need any anesthetic. It consists of passing a very good needle though the skin into the access port. It only normally requires a number of minutes to do and is not usually linked with considerable discomfort. On occasions it will need to be performed in the radiology division exactly where we can see far more accurately exactly where the access port is.

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