Check with a valid surgeon within the US. If the pouch has stretched out, pulling all the liquids out and a liquid diet do not always work. It depends on how long the pouch has been stretched out. Scar tissue forms the longer it is stetched and then surgery is the only way to correct it. I tried pulling all the liquid out of my band and a liquid diet for 4 weeks. It did not work. Check with your doctor for the best result. They will be able to tell on the x-ray when you do the fill. Good luck.