Incision-free ESG with Dr. Reza Keshavarzi, a fellowship-trained bariatric surgeon who also performs the gastric sleeve, bypass and balloon, so ESG is recommended only when it truly suits you.
Endoscopic sleeve gastroplasty reshapes the stomach from the inside. While you sleep under anesthesia, Dr. K passes a flexible endoscope through the mouth and places a series of full-thickness sutures along the stomach wall. Tightening them folds the stomach into a narrow, sleeve-shaped tube.
Nothing is cut out, and there are no incisions on the abdomen. The smaller stomach holds less and empties more slowly, so you feel full on small portions and stay satisfied longer between meals. That steady fullness gives the eating habits you build afterward room to take hold.
Dr. K is a member of the Society of American Gastrointestinal and Endoscopic Surgeons and performs every ESG himself. Because he also operates laparoscopically, the same surgeon who evaluates you for ESG can offer a sleeve or bypass if your health points that way.
ESG suits adults living with obesity who need more help than diet and exercise have given them but prefer a procedure without incisions. Dr. K confirms candidacy after reviewing your health history at your consultation.
You have lost weight before and watched it return. ESG adds a physical limit on portion size that willpower alone cannot supply.
You want a real change to your stomach without abdominal incisions or removing any tissue.
High blood pressure, sleep apnea, joint pain or rising blood sugar are pushing you to act now rather than later.
A sleeve feels like too big a step right now, or your health history makes a less invasive option the safer start.
You lost weight on injections and want a longer-term tool as you stop or reduce them.
ESG works alongside diet changes and follow-up visits. Patients who commit to both get the most from it.
Not sure ESG is the one? Dr. K also performs the gastric sleeve, the low BMI Mini Sleeve, gastric bypass and the ORBERA balloon, and he oversees medical weight loss. You get a recommendation based on your health, not on a single procedure.
Book a ConsultationDr. K performs all three procedures, so he can compare them honestly against your health and goals rather than steer you toward one.
| ESG | Gastric Sleeve | ORBERA Balloon | |
|---|---|---|---|
| Approach | Endoscope through the mouth | Laparoscopic surgery through small abdominal incisions | Endoscope through the mouth |
| Stomach | Folded and stitched into a narrow sleeve, nothing removed | Most of the stomach is removed | A saline-filled balloon takes up space |
| Incisions | None | Several small ones | None |
| How long it lasts | Built to last, and can be revised or converted later | Not reversible, since tissue is removed | Temporary, removed after about six months |
| Going home | Often the same day or after one night | Hospital stay included in our sleeve package | Usually the same day |
| Often chosen by | Patients who want lasting structure without incisions | Patients whose health calls for a lasting surgical change | Patients who want a temporary start |
Medical weight loss, including weight loss injections, is a fourth path. Some patients use it on its own, and others pair it with a procedure for extra support.
MD, FACS, FASMBS. Board-certified bariatric surgeon
Dr. Keshavarzi, known to patients as Dr. K, is the lead surgeon at Miami VIP Surgery and has decades of experience in bariatric and minimally invasive surgery. He performs your ESG himself and sees you through the follow-up visits that keep your progress on track.
Patients reach him directly: he contacts them from his personal cell phone during preparation and recovery. His surgical training also means one doctor can weigh ESG against a sleeve or bypass for you, with no reason to favor one.
Our team supports you through every step, and your procedure date depends mainly on how quickly your pre-procedure testing is done.
Dr. K reviews your weight history, medications, health conditions and goals. You leave knowing whether ESG fits, how it compares with your other options and what it costs.
You complete the clearances and lab work your plan calls for, with our recommended doctor or at a facility you choose. Results from our recommended doctor usually return within 48 hours.
A pre-procedure diet prepares your body for the endoscopy. Our team tells you which medications to pause and when.
Under general anesthesia, Dr. K places the sutures through the endoscope. There are no abdominal incisions, and many patients go home the same day or after one night of observation.
You move from clear liquids to purées and soft foods before regular meals. Many patients return to desk work within a few days to a week, and Dr. K sets your lifting and exercise limits.
Regular check-ins track your weight, nutrition and habits. Our diet plans and team stay with you as the new routine settles in.
ESG pricing depends on your health, the testing you still need and the facility, so Dr. K gives you an exact figure after your consultation rather than an estimate that may change.
Our team walks you through financing options during your consultation.
"The doctor was very straightforward and honest and extremely professional."
Pat Cutting, Google review
"He has been there the whole process, provided his cell phone to make sure he could be reached at all hours."
Yesi, Google review
"Dr. Keshavarzi is an outstanding physician, extremely knowledgeable, responsive, and genuinely committed to patient care."
Jeff De La Cruz, Google review
These reviews describe care with Dr. K across his weight loss procedures.
A gastric sleeve removes most of the stomach through small abdominal incisions and cannot be reversed. ESG keeps the whole stomach and narrows it with sutures placed through an endoscope, so nothing is cut or removed. Dr. K performs both, and he recommends the one that suits your health and goals.
No. The endoscope passes through the mouth, so there are no incisions on your abdomen and no external scars.
Results depend on your starting point, your health and how closely you follow the diet and activity plan afterward. Dr. K reviews realistic expectations for your situation at your consultation rather than promising a number.
Yes, many patients come to us after GLP-1 injections. Our protocol asks you to stop injections at least two weeks before your procedure. Dr. K can also discuss whether medical weight loss should continue afterward.
Yes. The sutures can be tightened in a repeat endoscopic procedure, and ESG does not rule out a gastric sleeve or bypass in the future. Dr. K talks through these paths with you if your goals change.
Timing depends mainly on how quickly you finish your medical clearances and tests. Our team helps you book them, and we move to scheduling as soon as your results are in.
Consultations and follow-up visits take place at our office at 7330 SW 62nd Pl, Suite 210, in South Miami, a short drive from Coral Gables. Your procedure location is confirmed when we schedule your date.
Meet Dr. K, compare ESG with every option he performs and leave with a plan, a written price and a clear timeline.
