MIL has VSG and eats more than I do Pre-OP!!

Shape is important to promote proper food flow to reduce reflux. To big at the top and narrow in the middle will cause food to push back up..... Reflux

The larger the sizing tool and more stretchy tissue that is retained.... Will have a higher chance of stretch. It increases exponentially. A 42f can possibly stretch 4x more than a 32f.

Don't get fooled by the pen photo than gets posted every so often. There is a reason why one person can eat a 12oz. Steak and another can only eat 2oz.

Surgical technique also plays in how much stretchy tissue is retained. Worst case is an hourglass shape.

Constant over eating is just about the only way to stretch your sleeve, that's why under eating your capacity is the key for long term restriction with any size sleeve.

frisco

**** Note: Many here have done well with larger sleeve sizes. Most have conformed to proper lifestyle changes and eating disciplines.