Dr. Reza Keshavarzi reshapes the stomach from the inside with no incisions, and because he also offers the balloon, weight loss injections and the sleeve, your plan starts from the option that fits you.
ESG makes the stomach smaller without surgery. Dr. Keshavarzi works through the mouth with a flexible endoscope, so there are no cuts on the abdomen.
A suturing device on the endoscope places rows of stitches along the stomach wall and draws it into a narrow, sleeve-shaped tube. With less room inside, smaller meals bring fullness sooner, which makes portion control easier to keep up.
You are asleep under general anesthesia while the endoscope is guided into the stomach.
Stitches fold the stomach inward. No tissue is cut or removed.
The new shape holds less food, so hunger is easier to manage day to day.

ESG sits between lifestyle changes and bariatric surgery. Dr. Keshavarzi decides with you whether it fits after reviewing your health and what you have already tried.
Every one of these is performed or overseen by Dr. K, so a change of plan never means a new doctor.
Most people looking into ESG are also weighing the balloon, medication or surgery. All four are offered here.
| Feature | ESG | ORBERA Balloon | Weight Loss Injections | Gastric Sleeve |
|---|---|---|---|---|
| How it works | Sutures fold the stomach into a narrower sleeve | A filled balloon takes up space in the stomach | Prescription medication reduces appetite | Laparoscopic surgery removes most of the stomach |
| Incisions | None, done through the mouth | None, placed through the mouth | None | A few small abdominal incisions |
| Stomach tissue removed | No | No | No | Yes |
| How long it lasts | The sutured shape stays in place, with no device to remove | Temporary, removed after a set period | Works while you keep taking it | A lasting change to stomach size |
| Setting | Endoscopy under general anesthesia | Endoscopy under sedation | At home, with medical oversight | Hospital surgery; our $14,000 package covers the stay and first-year follow-up |

Dr. Keshavarzi, known to patients as Dr. K, is the lead surgeon at Miami VIP Surgery and brings decades of experience in bariatric and minimally invasive surgery. He completed his surgical residency at Jackson Memorial Hospital and a fellowship in laparoscopic, bariatric and robotic surgery at Jackson South Medical Center.
As a member of the Society of American Gastrointestinal and Endoscopic Surgeons, he works on both sides of weight loss care, endoscopic and surgical. Patients from Davie see him at the consultation, on procedure day and at every follow-up.
Our team supports you through every stage, with a weight loss plan built around you.
Dr. K reviews your health, past attempts and goals, then sets ESG beside the other options. You leave knowing which procedure fits and what preparation involves.
Medical clearances and an upper endoscopy are required. Davie patients can complete exams at our office or a facility closer to home, and an endoscopy from the past five months is accepted. Our recommended doctor returns results within 48 hours.
A required pre-procedure diet prepares your body and starts the eating pattern you will follow afterward.
Dr. K performs the procedure under general anesthesia, entirely through the mouth. With no incisions, there are no wounds to care for afterward.
Most patients return to work 4 to 7 days after the procedure. Avoid lifting more than 20 pounds while you heal.
Follow-up visits keep your progress on track. Between visits, Dr. K stays in touch with patients from his own cell phone.

These Google reviews come from our bariatric patients and describe the care behind every procedure we perform, ESG included.
The entire team creates a welcoming and supportive environment.Jeff D.Google review
The doctor was very straightforward and honest and extremely professional.Pat C.Google review
Dr. Keshavarzi and his team are amazing. They are very caring and attentive.Angelica A.Google review
We price ESG once Dr. Keshavarzi confirms it is the right procedure for you, so the number reflects your own plan rather than a national average.
Financing through Cherry can spread the cost over 24 months at 0% interest on approved credit. Debit and credit cards are accepted for any remaining balance.
Cherry is our financing partner for weight loss procedures.What Davie patients ask most before choosing ESG.
It depends on how much weight you need to lose and how you feel about surgery. ESG keeps your whole stomach and needs no incisions, while a sleeve removes most of the stomach and generally gives a stronger, more durable effect for patients with more weight to lose. Dr. K performs both, so he can tell you honestly which one fits.
Gastroplasty means reshaping the stomach. In an endoscopic sleeve gastroplasty, sutures placed from inside the stomach fold it into a narrow sleeve and nothing is cut away. A sleeve gastrectomy is the surgical version, which removes part of the stomach.
Yes. Required exams can be done at our office or at a facility of your choice, and an upper endoscopy from the past five months is accepted. Your visits with Dr. K take place at our South Miami office.
Yes. Weight loss injections must be stopped at least two weeks before the procedure. Once you have healed, Dr. K decides with you whether medication has a place in your long-term plan, since he also oversees our medical weight loss program.
Your diet moves in stages, from liquids to soft foods and then to regular textures, over the first weeks. Small portions with protein first become the habit that keeps weight off. Our diet plans walk you through each stage, and our team checks in at every follow-up.
Yes. Because ESG removes no stomach tissue, a later gastric sleeve or other procedure remains possible if you need more help. Dr. K can plan that step himself, without a referral to another surgeon.
Book a consultation to learn whether ESG fits your health and goals, with the surgeon who would perform it.
7330 SW 62nd Pl, Suite 210
South Miami, FL 33143