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Written By: Jeffrey Atlas, PA-C, Health Content Writer
Medically Reviewed By: Dr. Gopal Grandhige, MD, FACS, Board-Certified Surgeon
Last Reviewed: July 6, 2023
Endoscopic sleeve gastroplasty (ESG) reduces stomach volume by approximately 30% using an endoscope and suturing device that creates accordion-like folds in the stomach without surgical removal, transforming it into a sleeve-like shape that triggers earlier fullness and prolonged digestion while maintaining normal nutrient absorption. The 2-hour procedure performed under general anesthesia involves pumping gas into the stomach to create clear visualization on monitors, enabling surgeons to precisely place sutures that permanently reduce stomach capacity without external incisions or tissue excision.
Clinical outcomes demonstrate progressive weight loss following specific milestones: 5% total body weight reduction within the first month, 10% by three months, 15% at six months, and 20-25% weight loss within one year depending on patient’s excess body fat. National Center for Biotechnology Information research confirms an average 16% total body weight loss post-procedure, with many patients experiencing remission or significant improvement in obesity-related conditions including Type 2 diabetes, hypertension, sleep apnea, and cardiovascular disease.
Formation Tampa distinguishes itself by including two years of one-on-one concierge nutrition support for every endoscopic weight loss surgery patient, addressing the critical post-surgical lifestyle modification phase that determines long-term success. Led by board-certified surgeons Dr. Gopal Grandhige and Dr. Ahmad Saad, the clinic specializes in endoscopic weight loss procedures including ESG, gastric balloon insertion, HD liposuction, and body contouring treatments for both men and women seeking comprehensive aesthetic and health transformation.
If you are looking to achieve your most beautiful and healthier self in 2023, consider scheduling a consultation at Formation.
The five key insights about endoscopic sleeve gastroplasty reveal it as a precisely engineered weight loss solution: the procedure uses advanced endoscopic tools and suturing devices to create accordion-like folds reducing stomach volume by 30%, transforms the stomach into a sleeve-like shape without tissue removal while maintaining nutrient absorption, delivers progressive weight loss milestones (5% in one month, 10% by three months, 15% at six months, 20-25% within one year), operates safely under general anesthesia with gas pumping for clear visualization during the 2-hour procedure, and achieves an average 16% total body weight loss with remission or improvement in obesity-related conditions including Type 2 diabetes, hypertension, and cardiovascular disease according to National Center for Biotechnology Information research.
Formation Tampa’s distinction lies not just in the surgical expertise of board-certified surgeons Dr. Gopal Grandhige and Dr. Ahmad Saad, but in the comprehensive two-year one-on-one concierge nutrition support provided to every patient, addressing the critical post-surgical lifestyle modification phase that separates long-term success from weight regain. Whether you’re seeking ESG, gastric balloon insertion, HD liposuction, or comprehensive aesthetic treatments including jawline contouring, Morpheus8, and body contouring procedures, Formation’s holistic approach combines cutting-edge minimally invasive technology with sustained behavioral support to help you achieve not just significant weight loss, but the lasting health transformation and confident appearance you deserve.
ESG uses an endoscope and suturing device inserted through the throat to create accordion-like folds in the stomach, reducing volume by approximately 30% without cutting or removing tissue. This sleeve-like transformation triggers earlier fullness and prolonged digestion while maintaining normal nutrient absorption, making it reversible unlike gastric sleeve surgery.
Formation's clinical targets include 5% total body weight loss within the first month, 10% by three months, 15% at six months, and 20-25% within one year depending on excess body fat. National Center for Biotechnology Information research confirms an average 16% total body weight loss post-procedure with remission or improvement in obesity-related conditions.
ESG is a safe 2-hour procedure performed under general anesthesia ensuring comfortable experience, with thorough pre-surgical assessment determining candidate suitability. Gas pumping into the stomach creates clear visualization on monitors for precise suturing, and the endoscopic approach through the throat eliminates external incisions and reduces infection risk.
Formation provides two years of one-on-one concierge nutrition support for every ESG patient, addressing the critical post-surgical lifestyle modification phase that determines long-term success. Led by board-certified surgeons Dr. Gopal Grandhige and Dr. Ahmad Saad, the clinic offers comprehensive aesthetic and weight loss treatments including gastric balloon, HD liposuction, and gender-specific body contouring.
No, ESG does not change your stomach's nutrient absorption capacity because it only adds sutures to reduce size rather than removing tissue or rerouting intestines. The procedure provides a tool for portion control through earlier fullness and extended digestion without compromising your body's ability to absorb essential vitamins and nutrients from food.
The next step after losing 100 pounds.
After significant weight loss, the skin doesn’t always shrink back to match the body’s new shape. And no amount of exercise can remove that excess skin.
In this surgery, Dr. Gopal performs a 360° circumferential body lift to remove excess skin and reshape the patient’s waistline, abdomen, and lower back.
The approach involves lifting the skin on the back and pulling it downward on the front to create a smoother, flatter contour while positioning the incision low enough to be concealed by underwear.
This patient lost over 100 pounds. During surgery, Dr. Gopal explains how approximately 3 pounds of skin were removed from the back, with another 5 pounds planned for removal from the front.
It’s not just about removing skin. It’s about reshaping the body after a significant weight-loss journey.
📍 Dr. Gopal Grandhige | Formation, South Tampa
Interested in body contouring after major weight loss? Schedule a consultation to explore your options.
#BodyLift #CircumferentialBodyLift #ExcessSkinRemoval #WeightLoss #BodyContouring
There’s lean. Then there’s sculpted.
High-definition liposuction goes beyond traditional fat removal. It’s about strategically sculpting around the underlying muscles to create more visible definition in the chest, abdomen, and waist.
For this patient, the goal was a leaner, more defined, athletic appearance without an exaggerated look.
Dr. Gopal Grandhige specializes in male HD liposuction, customizing each procedure to the patient’s anatomy, muscle structure, and desired level of definition.
The result? A more sculpted physique that complements his natural build.
Interested in HD liposuction? Schedule a consultation with Dr. Gopal at Formation Tampa. Link in bio.
Actual patient photos. Individual results vary.
#HDLiposuction #MaleLiposuction #HighDefinitionLiposuction #BodySculpting #Tampa
“That responsibility means everything to me.”
When a patient chooses a plastic surgeon, they’re placing an extraordinary amount of trust in someone else’s hands.
And that responsibility goes far beyond what happens in the operating room.
For Dr. Gopal, it means taking the time to understand each patient’s goals, carefully planning their procedure, making thoughtful decisions throughout surgery, and being there for them during recovery.
Every detail matters because there’s a real person behind every procedure, with hopes, concerns, and expectations.
And that person deserves to feel cared for every step of the way.
#Tampa #CosmeticSurgery #PatientCare #bodycountouring #hdliposuction
Every body needs a different plan.
An HD liposuction consultation with Dr. Gopal is much more than discussing which areas to treat.
He takes the time to evaluate each patient’s anatomy, explain what he’s seeing, and walk through exactly how he would approach the procedure.
Where should fat be removed? Where should it be preserved? How can the waist be sculpted while maintaining natural curves? And when might additional skin tightening be needed?
These are just some of the decisions Dr. Gopal walks patients through, explaining not only what he recommends, but why.
This Reel is a small glimpse into a consultation that typically involves a much more detailed conversation, with time for patients to ask questions and understand their options.
📍 Formation | South Tampa
Considering high-definition liposuction? Schedule a consultation with Dr. Gopal to discuss your goals and explore what’s possible.
#HDLipo #HighDefinitionLiposuction #BodyContouring #Tampa
There’s lean. Then there’s sculpted.
For some men, even years of consistent training and cutting cycles don’t produce the abdominal definition they’re working toward.
Here’s what one patient shared in his Google review of Formation:
⭐️⭐️⭐️⭐️⭐️
“Waited a few months to write this because I wanted to make sure the results held up.
The HD technique did what years of cutting cycles couldn’t. Abs actually show now, even relaxed, even in bad lighting. If you’ve chased a six pack for years you know what that means. Recovery was more involved than I expected and the bruising was wild for a bit. But the result looks like me, just leaner and more defined. Doesn’t look surgical, which was my biggest fear going in. Would recommend, but only if you’re already putting in the work.”
Dr. Gopal Grandhige specializes in male high-definition liposuction, an advanced body-contouring technique that goes beyond traditional fat removal.
By strategically removing fat around the underlying muscles, HD liposuction can enhance natural muscle definition and create a leaner, more sculpted, athletic appearance.
The goal isn’t to create artificial abs. It’s to reveal and enhance the muscle contours already there, with the level of definition customized to each patient’s anatomy and goals.
📍 Formation, South Tampa
Interested in male HD liposuction? Schedule a consultation with Dr. Gopal to explore your options.
Google patient review.
#HDLiposuction #MaleLiposuction #BodyContouring #Tampa
Crunches can only do so much.
You can spend hours strengthening your abdominal muscles, but that doesn’t guarantee visible definition.
A layer of fat sits between the muscles and the skin, and crunches can’t specifically target that fat.
For many people, exercise and reducing overall body fat can help reveal their abs. But even people who are already lean and fit can have stubborn fat that hides their natural muscle definition.
That’s where high-definition liposuction may help.
Dr. Gopal uses HD lipo to selectively remove fat around the natural contours of the abdominal muscles, helping reveal the definition that’s already there.
📍 Formation | South Tampa
Interested in HD lipo? Schedule a consultation to learn more.
#HDLipo #HighDefinitionLiposuction #AbdominalSculpting #BodyContouring
Which one had surgery 1 or 2? 👀
High-definition liposuction goes beyond traditional fat removal. Instead of simply reducing fat evenly, the surgeon strategically removes fat around the underlying muscles to make their natural contours more visible.
But here’s what makes it interesting: HD lipo doesn’t create the same six-pack on everyone. Each person’s anatomy, muscle development, and desired level of definition influence the final result.
Now take another look at these two patients.
Which one do you think had HD liposuction, 1 or 2?
Drop your guess below, then check the pinned comment for the answer!
#HDLiposuction #MaleLiposuction #BodyContouring #Tampa
There’s a story behind every decision.
Cosmetic surgery is a personal decision. Yet people who choose it often find themselves having to explain or defend that choice to others.
Some want to restore changes after pregnancy or weight loss. Others have worked hard to get in shape but still have areas they’d like to improve. And some simply want to feel more comfortable with their appearance.
The reasons are different for everyone. And they don’t have to make sense to anyone else.
At Formation, Dr. Gopal believes the decision to pursue cosmetic surgery should be guided by a patient’s personal goals, realistic expectations, and what’s medically appropriate for them.
Because ultimately, the person making that decision is the one who will live with it.
#Tampa #CosmeticSurgery #BodyContouring #Liposuction
Our first four-legged patient. 🐾
Dr. Gopal takes his liposuction and body contouring very seriously.
Even when his patients have four legs.
From loose skin and neck liposuction to a jawline that deserves its own before-and-after reveal, this might be his most dramatic transformation yet.
And yes, he even got the patient’s permission to share the results. 😂
A little Halloween fun from Dr. Gopal and his two very patient pups! 🎃🐶
No dogs underwent surgery. Just two willing participants and one very committed surgeon.
#SurgeonLife #tampa #necklipo
What weight loss can’t fix.
After losing over 100 pounds, this patient had achieved significant weight loss, but was left with excess skin around his abdomen and back that weight loss alone couldn’t address.
During an 8-hour surgery, Dr. Gopal performed a circumferential body lift, a procedure that removes excess skin around the entire midsection to improve body contour.
In this video, Dr. Gopal walks through the procedure, explaining how he removed approximately 3 pounds of skin from the back and estimated another 4–5 pounds would be removed from the abdomen.
He’s also using a small amount of fat collected during the procedure to add volume to the upper chest, improving its contour without performing a separate chest lift.
For patients who have experienced major weight loss, body contouring can help address the excess skin that remains after the weight is gone.
Considering surgery after weight loss? Schedule a consultation with Dr. Gopal at Formation in Tampa to explore your options.
Actual patient footage. Individual results vary.
#BodyContouring #BodyLift #ExcessSkinRemoval
