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Endoscopic sleeve gastroplasty (ESG) and laparoscopic sleeve gastrectomy (LSG) are both stomach-reduction weight loss procedures that help patients lose 70-75% of excess body weight within two years. ESG uses an endoscopic suturing technique to reduce stomach size by up to 80% without incisions, requires 60-90 minutes, and allows same-day discharge with minimal recovery time. LSG surgically removes part of the stomach through laparoscopic incisions, reduces stomach size by 60-80%, takes approximately 120 minutes, and requires a 2-day hospital stay with several weeks of recovery.
The primary difference is invasiveness: ESG is a non-surgical, incision-free procedure performed entirely through the mouth using an endoscope, while LSG requires surgical incisions and permanent removal of stomach tissue. ESG carries lower complication risks, no visible scarring, and faster return to normal activities compared to LSG’s surgical approach. However, LSG may result in slightly higher weight loss (75% vs 70% excess weight loss) and is typically covered by more insurance plans. Both procedures are permanent, reduce hunger hormones like ghrelin, and improve metabolic conditions including diabetes, high blood pressure, and cholesterol levels. The best choice depends on individual health status, GERD history, recovery time preferences, and insurance coverage.
A gastrectomy sleeve uses laparoscopic surgery to open up the abdomen and remove or resect a portion of the stomach. It is a more traditional surgical technique that leaves a thin “sleeve-like” portion that is smaller in size compared to the rest of your stomach, usually by 60-80%.
including the need for regular follow-up care with a bariatric surgeon or endocrinologist and the potential for side effects such as nausea, vomiting, bloating, and bowel obstruction.
Choosing between endoscopic sleeve gastroplasty and laparoscopic sleeve gastrectomy requires careful consideration of your personal health profile, lifestyle preferences, and weight loss goals. While both procedures deliver significant weight loss results and metabolic health improvements, ESG offers a minimally invasive approach with faster recovery and no incisions, making it ideal for patients seeking less downtime and reduced surgical risks. LSG may provide slightly greater weight loss outcomes but involves a more traditional surgical approach with longer recovery periods and potential complications like worsened GERD symptoms.
At Formation in Tampa, the decision between ESG and LSG isn’t just about the procedure itself, it’s about comprehensive support throughout your weight loss journey. With specialized nutritionists, lifestyle coaches, and experienced bariatric surgeons guiding you every step of the way, you’ll receive personalized care tailored to your unique circumstances. The right procedure combined with proper preparation, realistic expectations, and ongoing professional support can transform not just your body, but your overall health and quality of life. Schedule a consultation with Formation’s team today to determine which stomach reduction procedure aligns best with your health needs and weight loss objectives.
Neither endoscopic sleeve gastroplasty nor laparoscopic sleeve gastrectomy can be reversed, as both permanently alter the stomach's size and structure. However, ESG's suture-based approach may allow for certain revisions if complications arise, while LSG physically removes stomach tissue that cannot be restored.
Both ESG and LSG patients typically require daily vitamin and mineral supplementation to prevent nutritional deficiencies caused by reduced stomach capacity and nutrient absorption. Your bariatric team will prescribe a specific supplement regimen including multivitamins, B12, calcium, and iron based on your procedure type and individual needs.
ESG patients can usually return to desk work within 2-3 days due to the minimally invasive nature of the procedure and same-day discharge. LSG patients typically need 1-2 weeks off work to allow for incision healing and recovery from the surgical procedure.
Insurance coverage varies significantly between the two procedures, with LSG more commonly covered by insurance plans as an established bariatric surgery. ESG may not be covered by all insurance providers as it's a newer procedure, so patients should verify coverage with their insurance company and explore financing options if needed.
Failing to follow prescribed dietary guidelines after ESG or LSG can lead to complications including nausea, vomiting, nutritional deficiencies, inadequate weight loss, or stomach stretching that reduces procedure effectiveness. Adherence to the structured eating plan, starting with liquids, progressing to pureed foods, then soft foods, and finally solid foods is essential for optimal healing and long-term weight loss success.
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!
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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.
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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
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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.
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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.
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Lift, tighten, and refresh — without going under the knife. ✨ PDO thread lifts are one of the most effective non-surgical treatments for restoring structure to the face. They stimulate collagen production, improve skin texture, and deliver natural-looking results that keep getting better over time. Ready to turn back the clock? Drop your questions below 👇
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A journey that began with dedication, completed with precision. ✨
This patient worked tirelessly to lose weight, only to be left with the final hurdle: skin laxity that diet and exercise couldn`t touch. A circumferential lift was performed to remove the excess tissue "belt" around the entire midsection.
Today, at 12 months post-op, the transformation is complete. It’s not just about a flatter silhouette; it’s about a body that finally matches the strength and hard work they put in. The confidence? Unstoppable. 🏔️
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Amazing experience at ISSCA, the International Society for Stem Cell Application. Looking forward to implementing these protocols at Formation
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Why should you be taking Tesamorelin and Ipamorelin together?
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🩹 Stuck with Nagging Joint Pain? Meet PRP.
If physical therapy or injections haven’t given you the relief you need, it’s time to talk about Platelet-Rich Plasma (PRP).
PRP uses your body’s own natural growth factors to accelerate healing and get you back to doing what you love—faster.
We are also thrilled to introduce Jeffrey Atlas, PA-C, to the Formation team! With deep experience in orthopaedics, Jeffrey is ready to help you navigate your recovery journey with expert care.
Ready to heal? Here’s how to connect:
• 📞 Call/Text: 813-922-2920
• 📥 DM us directly to book a virtual consult.
• 🌐 Visit: www.formationmed.com
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