I will be getting a band-to-RNY in mid april or early may. My target loss is 75 pounds. 45 pounds lost in three months doesn't seem to bad to me. My sister is almost a year out from RNY. She never had a lapband. Her initial weight loss also was seen in her face and neck and loss of a couple of chins (her words) It took a while before I could see it. She also was used to dressing in layers. Now that she is shedding her old styles, it's more noticeable. Good luck.