Close
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.
We previously posted this beautiful patient’s immediate before and after following her PDO Lifting Thread treatment.
Take a look at her fantastic results now that the 10 threads we placed are settled.
Send us a DM or click the link in our bio to schedule a consultation to discuss what treatments are the right fit for you!
#Tampa #Beauty #LiftingThreads #beforeandafter
Facial Harmonization Step 2
It takes more than one treatment and often more than one treatment session to accomplish facial harmony and balance.
Here’s a look at step 2 in the journey for our surgical coordinator Hanna.
She wanted to address asymmetry and fullness in the lower face. To accomplish this we’ve started with Botox in the masseter to slim the jaw, and create a more feminine, heart shaped face. Now for step 2 we’re placing PDO lifting threads to enhance definition around the jawline without adding volume.
Stay tuned for step 3 and click the link in our bio to set up a consultation to determine your next steps to achieve your aesthetic goals.
#facialbalancing #facialharmony #liftingthreads #beauty #tampa
Let’s talk filler placements! 👀
From standard touch-ups to total profile balancing, dermal filler is incredibly versatile. Check out the reel to see all the areas we can treat to enhance your natural beauty.
The secret to great filler? A customized plan. 🎨
👇 Take the next step:
DM us “CONSULT” or click the link in our bio to book your one-on-one consultation today. Let’s see what filler can do for you!
The power of a profile transformation. 🔥
For this patient, we combined PDO Lifting Threads and advanced chin/jawline filler to completely redefine his lower face. By strategically lifting the mid-to-lower face and sculpting the jaw, we didn’t just enhance one feature—we elevated his entire facial appearance.
An incredible, natural-looking result that brings balance and confidence from every angle.
Note: Minor bunching or puckering is completely normal immediately following a PDO thread lift. The slight bunching visible in the after photo will fully subside on its own over the next 2-4 weeks as the threads settle.
#JawlineContouring #PDOThreads #FacialSculpting #JawlineFiller #mensaesthetics
Last week, we partnered with @epicutis for an exclusive evening of luxury, connection, and next-level skin. From complimentary skin analysis scans to good company and great vibes — this is what elevated beauty looks like. Thank you to everyone who joined us. 🥂
#Epicutis #Tampa
#LuxurySkicare #Emage #skingoals
Check out this incredible before and after of our gorgeous patient 6 months following her Female HD Liposculpture! ⏳
While these results are already stunning, here is a little insider secret: she’s not even at her final result yet! Healing from high-definition liposculpture is a journey. Over the next few months, residual swelling will continue to subside, and any temporary skin texture changes or minor discoloration will fully resolve. As the tissues settle, her skin will keep tightening to reveal even more crisp, beautifully defined athletic contours.
We love seeing our patients blossom through their recovery. Patience pays off, and her body will only continue to lean out and lock in over the coming months!
What do you think of her 6-month transformation? Drop a 👇 in the comments!
#BodyContouring #HDLipo #SkinTightening #PostOpHealing
PRP (Platelet-Rich Plasma) scalp injections use your own growth factors to reawaken dormant follicles, thicken existing strands, and naturally stimulate regrowth — no surgery, no downtime.
If you’ve been watching your part widen or your ponytail thin, this is your sign. 👇
📍Formation | Tampa
📞 Book your free consultation via the link in bio.
#PRPHairTreatment #HairRestoration #PRPScalpInjections #HairLossSolution #HairGrowth
Did you know that you can snatch your jaw with Botox?
Use the link in our bio to schedule a consultation so we can discuss all of the ways injectables can benefit YOU
#nefertitilift #botox #tampa
This patient’s transformation showcases the power of combining procedures:
High-Definition Liposculpture + Renuvion® skin tightening with fat transfer to the chest.
HD Lipo goes beyond traditional liposuction to sculpt and define the underlying muscle anatomy, while Renuvion uses helium plasma energy to tighten the skin from the inside out. The fat transfer to the chest adds natural volume and projection for a truly athletic contour.
The work is done. The confidence is his. 💪
📍 Formation Tampa
📲 Book your consultation via the link in bio.
#HDLipo #HighDefinitionLiposuction #Renuvion #BodySculpting #FatTransfer MaleBodyContouring
Six months post extended abdominoplasty, and we are loving these seamless, natural results. By focusing on feminine contours and a refined waistline, we achieved a silhouette that looks as good as it feels.
Proof that surgery can—and should—look effortless.
#NaturalResults #Abdominoplasty #BodyTransformation #Tampa #tummytuck
