Patient after endoscopic sleeve gastroplasty in Aventura, FL

Endoscopic Sleeve Gastroplasty in Miami & Aventura, FL

Up to 20% weight loss
No surgery and less downtime
No scars
Go home the same day

Real weight loss and personalized care from a board-certified weight loss expert in Miami.

Non-Surgical ESG Weight Loss in Miami & Aventura

Endoscope with a suturing device reduces the stomach by 70-80% during ESG

Endoscopic sleeve gastroplasty (ESG) is a non-surgical weight-loss procedure that uses internal sutures to make the stomach smaller without abdominal incisions or removing stomach tissue. It is sometimes called an endoscopic gastric sleeve, but it is not the same as surgical sleeve gastrectomy. The smaller stomach can help you feel full sooner and stay full longer with smaller portions.

Dr. Okeefe Simmons performs ESG for patients who need more help than lifestyle changes alone can provide, and is an option for people who do not want traditional bariatric surgery. ESG is available at Simmons MD Weight & Healthcare Solutions in Aventura, Florida. Patients also travel to this location to benefit from Dr. Simmons’s experience in bariatric endoscopy and obesity medicine.

Overview of Endoscopic Sleeve Gastroplasty

Quick facts

What it means for you

Procedure type

Non-surgical and incision-free. No stomach tissue is cut out or removed.

How it is performed

A doctor uses an endoscope, which is a thin tube with a camera, to reduce your stomach size by placing stitches inside your stomach.

Anesthesia

You receive anesthesia so you are asleep and comfortable during the procedure.

Procedure time

ESG often takes about 1 to 2 hours, although timing can vary.

Recovery

1-3 days to return to light activities and around a month for more strenuous activities.

Ongoing life-long commitment

Smaller portions, nutritious food, regular activity, and follow-up care remain important after ESG.

Find out if ESG would be right for you

How the ESG Procedure Works

ESG changes the size and shape of your stomach using sutures that are placed from the inside and without removing any part of it. The goal of the procedure is to help you feel satisfied with less food and make it easier to follow smaller portions.

1You receive anesthesia

Your care team gives you anesthesia and monitors you throughout the procedure. You remain asleep and comfortable while the doctor works.

2An endoscope is used to access your stomach

Dr. Simmons guides an endoscope through your mouth, down your throat, and into your stomach. An endoscope is a soft, flexible tube with a small camera. The camera provides a clear view inside your stomach.

3Your stomach size is reduced

A suturing device passes through the endoscope. Dr. Simmons places a planned pattern of internal stitches that folds the stomach into a narrower, tube-like shape. No abdominal cuts are needed, and no stomach tissue is removed.

4Recovery

Most patients leave the treatment center the same day after a period of monitoring. Your care team provides you with instructions for fluids, medicines, activity, and the step-by-step recovery diet that is required to allow your stomach to heal. This diet may vary by patient but it starts with liquids and gradually works up to solid foods.

Start With a Personal ESG Evaluation

Who Is a Candidate for ESG?

Candidates for ESG usually have a BMI of between 30 and 50 or a lower BMI and health conditions that are caused by obesity. The guidelines for ESG candidacy are not as strict as those for bariatric surgery but a review of your medical history, health, current medicines, previous weight-loss efforts, eating patterns, and goals is conducted before determining if ESG is right for you. Some other elements that may be considered include:

You have not been able to lose enough weight or keep it off with nutrition and activity changes alone.
Want a procedure without abdominal cuts or removal of stomach tissue.
Do not want traditional bariatric surgery or may not be a good candidate for it.
Can follow a staged diet while your stomach heals.
Are ready for long-term lifestyle changes.

Meet Dr. Simmons

ESG requires careful planning and precise endoscopy skills. Dr. Simmons is board-certified in internal medicine, gastroenterology, and obesity medicine. He has performed thousands of endoscopic procedures and takes time to understand each patient’s health, concerns, and goals.

He explains the available options clearly and creates a personal treatment plan. Testimonials from patients often describe him as compassionate, personable, and caring. He and his team provide ongoing support and give you a place to ask questions, work through setbacks, and adjust your plan as your needs change.

Learn more

Before & After ESG Results

ESG can produce meaningful weight loss, but results vary. Your starting weight, current health, food choices, activity, medicines, sleep, and follow-up care can all affect your outcome. One five-year ESG study reported an average total body weight loss of 15.9% at five years. Not every participant maintained the same amount of weight loss. The Mayo Clinic notes that ESG combined with lifestyle changes can lead to about 18% to 20% total body weight loss at 12 to 24 months. Results vary from person to person.

ESG Cost, Insurance, and Financing

Cost

Pay in full

$11,500

Procedure fee
Facility fee
Follow-up visits with the MD for 6 months
Follow-up visits with a coach for 6 months

Book a Consult

Financing

as low as

$574/mo

Procedure fee
Facility fee
Follow-up visits with the MD for 6 months
Follow-up visits with a coach for 6 months

Learn More

At this time, most ESG procedures are self-pay, although some insurance plans may provide coverage for eligible patients. Because coverage varies by insurer and policy, check your specific benefits and requirements. Learn more about insurance coverage for endoscopic sleeve gastroplasty (ESG). The Simmons MD team can also confirm current pricing and provide a written estimate before you schedule.

Simmons MD offers financing options through CareCredit, United Credit, and Cherry that can help you spread the cost of your ESG procedure into monthly payments.

Ready to Learn Whether ESG Is Right for You?

It is always a smart decision to seek help from experts when trying to achieve a goal. Dr. Simmons can review your goals, explain your options, and help you compare ESG with other medical or non-surgical weight-loss treatments to find the best solution for you.

There is no reason to continue to struggle and try to lose weight on your own. Dr. Simmons and his team of knowledgeable professionals can help you with the tools, guidance, and support you need to reach sustainable weight loss. Book your ESG Consultation with Dr. Simmons today.

Patients trust us

New confident way of living your life

Fantastic experience! Doctor Simmons was very kind and explained everything thoughtfully and clearly. His office staff was also just as excellent and professional.

-J.M.

I am very happy I came to this clinic to see Dr.Simmons and his staff who are wonderful. They are very professional. I have had beautiful service and I would recommend him because he is very concerned about his patients and shows that he cares.

-A.C.

Dr. Simmons is so professional, knowledgeable, supportive and kind. He and his team are patient and always available to address any questions or concerns. The process was very simple and one of the best decisions I have made in my life. I would 110% recommend Dr. Simmons and his Weight Loss Program.

-A.M

Read all reviews

Visit Simmons MD in Aventura, FL

Aventura Miami

786.386.2780 2820 NE 214th St Ste 801, Aventura, FL 33180 admin@simmonsmdhealth.com

Mon-Fri: 8am — 5pm
Sat: 8am — 12pm
Sun: closed

FAQs

We’ve got answers. Learn everything you need to know about the endoscopic sleeve gastroplasty (ESG) procedure.

What are the risks and side effects of ESG?

Common short-term side effects can include stomach pain or pressure, nausea, vomiting, heartburn, a sore throat, and tiredness. These symptoms often improve within several days and can usually be managed with medicine and fluids. Serious problems are rare. They can include bleeding, infection, a tear or leak in the stomach, a blood clot in the lung, or a reaction to anesthesia. Your care team explains warning signs and when to call before you go home. The Mayo Clinic overview of ESG explains the procedure, recovery, risks, and expected outcomes in more detail.

What does recovery look like, and what are the ESG diet stages?

Your exact timeline may differ, so the plan from Dr. Simmons and your care team takes priority over a general online schedule. Read the ESG recovery and diet guide for a more detailed overview.

Is ESG a good weight loss solution for everyone?

No. You may not be a suitable candidate for ESG if you have:

An active stomach ulcer.
A large hiatal hernia.
Previous major stomach or bariatric surgeries.
Severe gastrointestinal inflammation or bleeding disorders.
You are pregnant or planning a pregnancy.
You have issues with illegal drugs or alcohol.

Simmons MD also offers other medical and non-surgical weight-loss options when ESG is not the best match.

How long do ESG results last, and can you regain weight?

ESG is intended to support long-term weight loss, and the internal stitches are designed to last. The five-year study linked above found that many patients maintained meaningful weight loss, but not everyone had the same result. Weight regain remains possible. Appetite, eating habits, health, and medicines can change over time. Regular follow-up, nutritious food, physical activity, and early help with a plateau can support better long-term results.

How is ESG different from gastric sleeve surgery?

ESG uses stitches placed through the mouth to reshape the stomach. Gastric sleeve surgery uses abdominal cuts and permanently removes a large part of the stomach. ESG usually has a shorter recovery and leaves no abdominal scars, while gastric sleeve surgery often leads to greater average weight loss. The right choice depends on your health, goals, risk tolerance, and the amount of weight you need to lose. A detailed ESG vs. gastric sleeve comparison can help you prepare questions for your appointment.

Where can I find endoscopic sleeve gastroplasty near me?

Simmons MD performs ESG at its Aventura office in Miami-Dade County. The clinic serves patients from Miami and other South Florida communities. A consultation can show whether ESG fits your health, goals, and daily life.