Dr. Reza Keshavarzi performs ESG as well as the gastric sleeve, gastric bypass and ORBERA balloon, so Hollywood patients get a recommendation built around their health rather than a single procedure.
Endoscopic sleeve gastroplasty, often called ESG or the accordion procedure, narrows the stomach from the inside.
Dr. Keshavarzi passes a flexible endoscope through the mouth and uses a suturing device to stitch the stomach wall into a slimmer, sleeve-shaped tube. The stomach then holds less, so modest portions feel like a full meal.
That steady fullness is the tool. The eating habits you build in the months after ESG are what turn it into weight loss that lasts, which is why our follow-up continues well after procedure day.
Every step happens through the mouth under general anesthesia, so there are no cuts on the abdomen to heal.
Rows of sutures fold the stomach inward and reduce how much it can hold. No tissue is cut away.
Because nothing is removed, ESG keeps future options open, including a later conversion to a gastric sleeve if you need more help.
Most people who ask about ESG have already put real effort into diet, exercise or medication and want a stronger tool without going into surgery. Dr. Keshavarzi decides with you whether it fits after a full look at your weight history and health.
Hollywood patients often come in weighing an endoscopic option against surgery. Dr. K performs all three, so the comparison comes from one surgeon with nothing to gain from steering you.
| Feature | ESG | Gastric Sleeve | Gastric Bypass |
|---|---|---|---|
| How it is done | Endoscope through the mouth; sutures fold the stomach from inside | Laparoscopic surgery removes most of the stomach, leaving a narrow tube | Laparoscopic surgery creates a small stomach pouch and reroutes the small intestine |
| Incisions | None | A few small abdominal incisions | A few small abdominal incisions |
| Stomach tissue removed | No | Yes, a large portion | No; most of the stomach is bypassed |
| Digestive route changed | No | No | Yes |
| Time in hospital | Many patients go home the same day | Short hospital stay, included in our sleeve package | Short hospital stay |
| Often chosen by | Patients who want meaningful weight loss without surgery | Patients with more weight to lose who want a lasting change in stomach size | Patients with more weight to lose or significant reflux |
Dr. Reza Keshavarzi, MD, FACS, FASMBS, is the lead surgeon at Miami VIP Surgery, and patients know him as Dr. K. He trained in general surgery at Jackson Memorial Hospital, then completed a fellowship in laparoscopic, bariatric and robotic surgery at Jackson South Medical Center.
He is also a member of the Society of American Gastrointestinal and Endoscopic Surgeons, so endoscopic and surgical training meet in the same consultation. If an endoscopic sleeve is not the right tool for you, he can say so and offer the operation that is.
Our team supports you through every stage of preparation, and your weight loss plan is personalized to you rather than handed out as a standard sheet.
Dr. K reviews your health, past weight loss attempts and goals, and walks through ESG beside the other options. You leave with a clear recommendation.
Medical clearances and an upper endoscopy confirm you are ready. Our recommended doctor returns test results within 48 hours, so scheduling moves as fast as your testing does.
A pre-procedure diet prepares your stomach and gets you used to the eating pattern ahead.
Dr. K performs ESG under general anesthesia, working entirely through the mouth. Many patients go home the same day.
Your diet moves from liquids to soft foods, then to regular textures. Many patients return to work in 4 to 7 days and avoid lifting more than 20 pounds while they heal.
Follow-up visits keep your progress on track, with medical weight loss support added when it helps.
These Google reviews come from our bariatric surgery patients. They describe the follow-up and attention that come with every procedure we perform, ESG included.
He has been there for me from the beginning of my journey until now.Sherly G.Google review
From the moment I walked into his office my life changed for the better.Glorivee G.Google review
He made sure I trusted him and that I was mentally prepared for my surgery.Jorge M.Google review
We quote your ESG price once Dr. Keshavarzi confirms it is the right procedure for you, so the figure matches your actual plan rather than a national average.
Financing through Cherry can spread the cost over 24 months at 0% interest on approved financing. Debit and credit cards are accepted for any remaining balance.
Cherry is our financing partner for weight loss procedures, with debit and credit cards accepted for the balance.Answers to what Hollywood patients ask most before choosing an endoscopic sleeve.
We quote ESG pricing individually after your consultation, not as one flat figure online, because each patient's preparation is different. Patients from Hollywood use the same payment options as everyone we treat: Cherry financing with 0% interest for 24 months and payments from $320 a month, plus debit or credit cards for any balance.
They are treatments done with a flexible camera passed through the mouth, so there are no incisions. At our office they include ESG, which stitches the stomach into a smaller shape, and the ORBERA gastric balloon, which sits in the stomach temporarily and is then removed.
Sleeve gastroplasty means reshaping the stomach into a narrow sleeve without cutting any of it away. In ESG the reshaping is done with sutures placed from inside the stomach. A surgical sleeve gastrectomy is different, because it removes most of the stomach.
No. Clearance testing can be done at a facility closer to home, and an upper endoscopy from the past five months can count toward your preparation. You come to our South Miami office for the visits with Dr. K that need to be in person.
Weight loss injections are stopped at least two weeks before the procedure. After that, Dr. K decides whether medication belongs in your long-term plan. He also oversees our medical weight loss program.
If so, Dr. K tells you at your consultation and explains which option fits better. He performs the gastric sleeve, gastric bypass, low BMI Mini Sleeve and ORBERA balloon, so changing your plan does not mean changing surgeons.
Book a consultation to find out whether ESG fits your health and goals. The drive from Hollywood leads to one surgeon who can offer you every option.
7330 SW 62nd Pl, Suite 210
South Miami, FL 33143
