ESG with Dr. Reza Keshavarzi, a board-certified bariatric surgeon who also performs the gastric sleeve, bypass and balloon, so your recommendation is never tied to one procedure.
Endoscopic sleeve gastroplasty makes the stomach smaller from the inside. Dr. Keshavarzi guides a flexible endoscope through the mouth and places sutures along the stomach wall, folding it into a narrower, sleeve-shaped tube.
A smaller stomach holds less food, so you feel full on smaller portions and stay satisfied longer. That fullness is the tool. The eating habits you build in the months that follow turn it into lasting weight loss.
The endoscope reaches the stomach under general anesthesia, with no cuts on the abdomen.
Rows of stitches draw the stomach wall into a tube and reduce how much it can hold.
The stomach stays intact, so it can be tightened again or converted to a surgical sleeve later if needed.
ESG suits adults living with obesity who need more help than diet, exercise or medication have given them, without a surgical operation. Dr. Keshavarzi confirms candidacy after reviewing your weight history and health.
Dr. Keshavarzi performs all three procedures, so you can weigh them with one surgeon who has no reason to favor any of them.
| Feature | ESG | Gastric Sleeve | ORBERA Balloon |
|---|---|---|---|
| How it is done | Endoscope through the mouth; stomach sutured from the inside | Laparoscopic surgery through small abdominal incisions | Endoscope places a saline-filled balloon in the stomach |
| Incisions | None | Several small incisions | None |
| Stomach tissue removed | No | Yes, a large portion | No |
| How long it lasts | Sutures stay in place; can be tightened or converted later | Permanent | Temporary; the balloon is removed after about six months |
| Procedure day | Usually outpatient | Short hospital stay, included in our sleeve package | Outpatient |
| Often chosen by | Patients who want meaningful weight loss without surgery | Patients with more weight to lose who want the most durable result | Patients who want a temporary, reversible first step |
Dr. Reza Keshavarzi, MD, FACS, FASMBS, is a board-certified bariatric surgeon and the lead surgeon at Miami VIP Surgery. Patients know him as Dr. K. He completed his surgical residency at Jackson Memorial Hospital and a fellowship in laparoscopic, bariatric and robotic surgery at Jackson South Medical Center.
He performs ESG alongside the gastric sleeve, gastric bypass, Mini Sleeve and ORBERA balloon, and oversees our medical weight loss program. That range lets him recommend ESG when it fits and say so plainly when another path will serve you better.
Our team supports you from the first visit through preparation, procedure day and the months that follow.
You meet Dr. Keshavarzi, review your health and goals, and compare ESG with the other options. You leave knowing whether ESG fits.
Medical clearance, an upper endoscopy and a pre-procedure diet. Weight loss injections are paused at least two weeks before.
Performed under general anesthesia, usually in about an hour. Most patients go home the same day.
A staged diet moves from liquids to soft foods. Many patients return to work in 4 to 7 days and avoid lifting over 20 pounds.
A personalized weight loss plan, with medical weight loss support when it helps, keeps your progress going.
These Google reviews come from our bariatric patients and describe the care that surrounds every procedure we perform.
He has been there the whole process, provided his cell phone to make sure he could be reached at all hours.YesiGoogle review
The doctor was very straightforward and honest and extremely professional.Pat C.Google review
His timely communication and expert guidance were instrumental in helping me reach my health goals.Jeff D.Google review
Your ESG price is quoted once Dr. Keshavarzi confirms the procedure is right for you, so the number reflects your plan rather than a generic estimate.
Financing through Cherry spreads the cost into monthly payments, and debit and credit cards are accepted for any remaining balance.
Straight answers to what patients ask most before choosing ESG.
ESG is a nonsurgical weight loss procedure that shrinks the stomach with sutures placed through an endoscope. With a smaller stomach you feel full sooner, which makes eating less far easier to keep up. Nothing is cut and nothing is removed.
No. The endoscope reaches the stomach through the mouth, so there are no cuts on the abdomen and no visible scars to heal.
Coverage for ESG varies from plan to plan. Our team reviews your payment options with you before you commit, including financing through Cherry.
Yes, medication and ESG can work together. Weight loss injections are paused at least two weeks before the procedure. Dr. Keshavarzi then decides whether and when medication belongs in your long-term plan.
Because ESG leaves the stomach intact, it can be tightened with a repeat endoscopic procedure or converted to a gastric sleeve later. Dr. Keshavarzi performs both, so your care stays with the same surgeon.
Dr. Reza Keshavarzi performs every ESG himself. You see him at consultation, on procedure day and at your follow-up visits.
Book a consultation to learn whether ESG fits your health and goals, and leave with a clear plan for what comes next.
7330 SW 62nd Pl, Suite 210
South Miami, FL 33143
