Author: Khrom MedSpa & Weight Loss
Medically Reviewed By: Dr. Alexander Shapsis
Endoscopic Sleeve Gastroplasty (ESG), also known as ESG stomach tightening, is a minimally invasive weight loss procedure that reduces stomach volume without surgery, incisions, or permanent anatomical changes. Using an FDA-authorized endoscopic suturing system, Dr. Alexander Shapsis performs ESG entirely through the mouth, helping eligible patients achieve meaningful, long-term weight loss with less downtime than traditional bariatric surgery.
At Khrom MedSpa & Weight Loss, we provide physician-guided ESG treatment for patients throughout Coral Springs, Miami, Fort Lauderdale, Boca Raton, Pompano Beach, Plantation, Davie, Sunrise, Weston, Deerfield Beach, Delray Beach, Boynton Beach, West Palm Beach, Coconut Creek, Tamarac, Parkland, and Margate. Whether you’re looking for an experienced ESG doctor in the Miami area, researching ESG stomach tightening cost in the Miami area, or exploring alternatives to gastric sleeve surgery, our team provides personalized evaluations, transparent pricing, financing options, and comprehensive long-term support.
Quick Facts
- 🟨 ESG stomach tightening is performed without surgery, external incisions, or scars.
- 🟨 Most patients lose approximately 15–20% of their total body weight when combined with physician-guided nutrition and lifestyle changes.
- 🟨 The procedure is completed entirely through the mouth using an FDA-authorized endoscopic suturing system.
- 🟨 Patients typically return home the same day and resume most daily activities within a few days.
- 🟨 ESG stomach tightening cost in the Miami area includes transparent self-pay pricing, financing options, and insurance review.
- 🟨 ESG may be combined with physician-guided GLP-1 medications, including Ozempic®, Wegovy®, Mounjaro®, and Zepbound®, when clinically appropriate.
- 🟨 Virtual consultations are available for eligible patients throughout South Florida.
- 🟨 $150 physician consultation includes a comprehensive evaluation, BMI assessment, review of your weight-loss history, personalized treatment recommendations, and is fully applied toward your ESG procedure.
- 🟨 Comprehensive ESG Program – $12,200 includes the ESG procedure, anesthesia, physician follow-up visits, post-procedure guidance, and long-term medical support.
- 🟨 Flexible financing options are available for qualified patients. Our team can also review available insurance benefits and discuss self-pay options during your consultation.
- 🟨 Care is available in English, Spanish, Russian, and Ukrainian.

Endoscopic Sleeve Gastroplasty (ESG) Stomach Tightening in South Florida
If you’ve struggled to lose weight despite making healthy lifestyle changes, you’re not alone. Many adults find that controlling hunger and maintaining long-term weight loss becomes increasingly difficult over time. Endoscopic Sleeve Gastroplasty (ESG), commonly known as ESG stomach tightening, is a minimally invasive procedure designed to help eligible patients lose weight without traditional bariatric surgery.
Unlike gastric sleeve surgery, ESG does not involve removing part of the stomach or making abdominal incisions. Instead, Dr. Alexander Shapsis reshapes the stomach from the inside using an advanced endoscopic suturing device. The smaller stomach helps patients feel satisfied after eating smaller meals, making portion control easier while supporting healthier eating habits and sustainable weight loss.
Every treatment plan at Khrom MedSpa & Weight Loss is personalized. During your consultation, Dr. Shapsis evaluates your BMI, medical history, previous weight-loss efforts, and long-term goals to determine whether ESG stomach tightening is the right option for you.
Dr. Alexander Shapsis
“Successful weight loss is about much more than a procedure. Our goal is to help patients build healthier habits, improve metabolic health, and achieve lasting results through physician-guided care before, during, and long after ESG.”
How ESG Stomach Tightening Helps You Lose Weight
Endoscopic Sleeve Gastroplasty (ESG) helps patients lose weight by reducing the amount of food the stomach can comfortably hold without removing any portion of the stomach. As a result, most patients feel full sooner, naturally eat smaller meals, and consume fewer calories while following a physician-guided nutrition and lifestyle program.
Key benefits of ESG stomach tightening include:
- Feel full sooner after meals
- Naturally reduce portion sizes
- No stomach removal
- No external incisions or visible scars
- Same-day outpatient procedure for most patients
- Preserves the stomach’s natural anatomy
- Supports sustainable weight loss with physician-guided care
For many adults searching for an experienced ESG doctor in the Miami area, Endoscopic Sleeve Gastroplasty offers a minimally invasive alternative to traditional bariatric surgery with a shorter recovery and fewer lifestyle interruptions.
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Benefits of ESG Stomach Tightening
Endoscopic Sleeve Gastroplasty (ESG) has become one of the most requested minimally invasive weight loss procedures because it helps patients achieve meaningful weight loss without traditional bariatric surgery. For eligible adults living with obesity, ESG stomach tightening offers an effective balance between lifestyle changes and surgical intervention.
Unlike gastric sleeve surgery, ESG preserves your natural stomach anatomy while reducing stomach volume through internal sutures. Many patients appreciate the shorter recovery, lower risk profile, and ability to return to their normal routine quickly.
- No abdominal incisions or visible scars
- No portion of the stomach is removed
- Same-day outpatient procedure
- Short recovery with minimal downtime
- Helps patients feel full sooner and eat smaller meals
- Supports long-term weight management when combined with healthy lifestyle changes
- Can improve obesity-related medical conditions in appropriate patients
- May be combined with physician-guided GLP-1 medications when clinically appropriate
Dr. Alexander Shapsis
“ESG gives many patients an opportunity to lose significant weight without undergoing traditional bariatric surgery. The procedure is only one part of the journey—our continued medical follow-up helps patients maintain their success.”
Who Is a Candidate for ESG?
ESG stomach tightening may be an appropriate option for adults who have struggled to lose weight with diet and exercise alone and are looking for a minimally invasive alternative to bariatric surgery. Every patient receives a comprehensive medical evaluation before treatment is recommended.
- BMI generally between 30 and 40 kg/m², although some patients outside this range may qualify.
- Previous unsuccessful attempts with diet and exercise.
- Adults seeking a non-surgical weight loss procedure.
- Patients committed to long-term nutrition and lifestyle changes.
- Individuals who understand the importance of regular physician follow-up.
During your consultation, Dr. Alexander Shapsis will review your health history, medications, previous weight-loss efforts, and goals before determining whether ESG is the right treatment for you.
ESG vs. Gastric Sleeve Surgery
| Endoscopic Sleeve Gastroplasty (ESG) | Sleeve Gastrectomy |
|---|---|
| Non-surgical endoscopic procedure | Traditional bariatric surgery |
| No external incisions | Laparoscopic abdominal incisions |
| No stomach removal | Approximately 75–80% of the stomach is removed |
| Same-day discharge for most patients | Usually requires a hospital stay |
| Shorter recovery | Longer recovery period |
| Preserves natural stomach anatomy | Permanent anatomical changes |
Although both procedures are effective, they are designed for different patients. During your consultation, Dr. Shapsis will explain the advantages and limitations of each option based on your BMI, medical history, and long-term weight-loss goals.
Recovery After ESG Stomach Tightening
Most patients return home the same day after the procedure. During the first few days, it is common to experience temporary nausea, abdominal cramping, bloating, or fatigue while the stomach adjusts to its new shape. These symptoms are usually temporary and improve with medication and supportive care.
Your recovery plan includes detailed dietary instructions that gradually transition from liquids to soft foods and eventually to regular healthy meals. Following these recommendations plays an important role in achieving the best possible results.
- Day 1–3: Clear liquids and hydration.
- Week 1–2: Full liquids and high-protein nutrition.
- Weeks 3–4: Soft foods.
- After approximately one month: Gradual transition to healthy solid foods.
Many patients begin noticing weight loss during the first month, with continued progress over six to twelve months when combined with physician-guided nutrition, exercise, and regular follow-up appointments.
Can ESG Be Combined with Ozempic®, Wegovy®, Mounjaro®, or Zepbound®?
Yes. For selected patients, ESG may be combined with physician-guided GLP-1 medications such as Ozempic®, Wegovy®, Mounjaro®, or Zepbound®. These medications help regulate appetite, while ESG stomach tightening reduces stomach volume and supports portion control.
Combining these treatments is not appropriate for everyone, but for carefully selected patients it may provide additional support for long-term weight management. Dr. Shapsis will determine whether combination therapy is appropriate based on your health history and treatment goals.
If you’re considering ESG stomach tightening or comparing treatment options, our team will explain the benefits, expected outcomes, recovery, and costs so you can make an informed decision about your care.

ESG Stomach Tightening Cost in the Miami Area
If you’re researching ESG stomach tightening cost in the Miami area, it’s important to understand that pricing includes much more than the procedure itself. At Khrom MedSpa & Weight Loss, our comprehensive ESG program provides physician-guided care before, during, and after treatment, helping you achieve long-term success.
$150 Physician Consultation
Your consultation includes a comprehensive evaluation with Dr. Alexander Shapsis to determine whether Endoscopic Sleeve Gastroplasty is the right option for you.
- Complete medical evaluation
- BMI assessment
- Review of your weight-loss history
- Discussion of ESG and alternative treatment options
- Personalized physician treatment plan
Your consultation fee is applied toward your ESG procedure.
Comprehensive ESG Program
$12,200
Our comprehensive ESG program includes everything you need for physician-guided weight loss.
- Endoscopic Sleeve Gastroplasty (ESG)
- Anesthesia
- Physician follow-up visits
- Post-procedure guidance
- Long-term physician support
Flexible financing options are available for qualified patients.
Insurance & Financing
Although Endoscopic Sleeve Gastroplasty is often considered an elective procedure, our team will gladly review your insurance benefits and explain all available payment options. We believe patients should clearly understand every aspect of their treatment before making a decision.
- Insurance benefit review
- Transparent self-pay pricing
- Flexible monthly financing
- No hidden fees
- Dedicated patient coordinators
If you’re comparing ESG stomach tightening cost in the Miami area, we encourage you to compare the physician’s experience, what’s included in the treatment program, and the level of long-term follow-up—not simply the procedure price.
Why Choose Dr. Alexander Shapsis for ESG Stomach Tightening in South Florida?
In addition to caring for patients at Khrom MedSpa & Weight Loss in South Florida, Dr. Shapsis also practices at EndoSlim Clinic NY, a leading obesity and bariatric endoscopy center in New York specializing in physician-guided, minimally invasive weight-loss procedures. His experience treating patients in both New York and Florida allows him to provide evidence-based care using the latest endoscopic technologies and personalized treatment plans.
Dr. Shapsis specializes in a full range of advanced endoscopic weight-loss procedures, allowing patients to receive individualized recommendations based on their medical history, BMI, previous bariatric procedures, and long-term goals. Rather than offering a one-size-fits-all solution, he carefully selects the treatment that is most appropriate for each patient.
- Allurion Smart Capsule (Swallowable Gastric Balloon) — a non-surgical, swallowable gastric balloon placed without endoscopy or anesthesia.
- Spatz3 Adjustable Gastric Balloon — the only adjustable gastric balloon designed to help optimize weight-loss results.
- Orbera® Gastric Balloon — a well-established endoscopic gastric balloon program for physician-guided weight loss.
- TORe (Transoral Outlet Reduction) — a non-surgical revision procedure for patients who have regained weight after gastric bypass surgery.
- Endoscopic Sleeve Revision — a minimally invasive option for selected patients experiencing weight regain after gastric sleeve surgery.
Dr. Shapsis has earned hundreds of positive patient reviews and is recognized by many patients for his expertise in bariatric endoscopy, Endoscopic Sleeve Gastroplasty (ESG), and other minimally invasive weight-loss procedures. Patients appreciate his compassionate approach, comprehensive evaluations, and commitment to helping them achieve safe, sustainable, long-term weight loss.
Disclaimer: The information provided on this page is for educational purposes only and should not be considered medical advice. Every patient’s medical history, health conditions, and treatment goals are unique. Eligibility for treatment, expected results, procedure recommendations, pricing, financing, and insurance coverage are determined during a comprehensive consultation. Individual results may vary. All procedures and treatments are performed only after evaluation by a qualified healthcare provider.
