Our nurse, who also happens to have had a lap band by the way, does the adjustments. She has a patient lying down on their back with a slight arch on the back, with a pillow behind their back. Then she can palpate and feel the port. There's a special one-way needle she puts into the port and this is hollow and communicates with the circumferential balloon system, and you can fill the port with saline and, as a consequence, snug up the band, much like a belt. We lose weight, our waist goes down, and we snug it up.
On February 28th, 2013. See this statement in context.