Sleeve Revisions


The endoscopic sleeve revision is a same-day, outpatient, non-surgical procedure that tightens a sleeve gastrectomy to provide restored fullness and satiety. This procedure is best suited for patients who had a surgical sleeve gastrectomy and have since re-gained weight and can eat larger portions. With an endoscopic sleeve revision, the sleeve is made small again through a brief, outpatient, 15-minute procedure. The result? Patients will find they have a restored sense of fullness, can feel satisfied with much smaller portions, and can get their lifestyle—and life—back on track.

Who It’s For

Endoscopic sleeve revision is best suited for patients who had a sleeve gastrectomy surgery more than two years prior, lost weight initially, but have since regained weight. This procedure is ideal for those who feel they can eat larger portions and now have a more difficult time keeping their diet on track.

How The Procedure Works

Endoscopic sleeve revision is a same-day, outpatient procedure. Your physician will utilize an endoscopic suturing system—a device mounted to a flexible endoscope—which is then passed into the stomach through the mouth. With this technique, your physician can tighten your sleeve from the inside, without any incisions. The entire procedure takes 15 minutes under anesthesia, and results in a shorter and tighter sleeve, often smaller than it initially began. Endoscopic sleeve revision is closely related to the Endoscopic Sleeve Gastroplasty—an advanced non-surgical procedure for patients who want the benefits of weight loss surgery, without the surgery. Because there are no incisions, most patients will return to work and routine activities within 2-3 days.

How Much Weight You’ll Lose

The average weight loss following an endoscopic sleeve revision is 15-20% of body weight. While not as drastic as the original surgery, an endoscopic revision can safely restore restriction and allow patients to get back on track. Patients with the greatest results utilize this new tool, or “second chance,” to completely rejuvenate their lifestyle.
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Why Choose True You for Sleeve Revisions?

Endoscopic Expertise
Endoscopic sleeve revision is an advanced technique that requires a very high level of endoscopic skill.
Dr. McGowan, a board-certified gastroenterologist and endoscopist, is a leader and educator in the field of endoscopic weight loss, and regularly trains physicians from around the nation in the technique of endoscopic suturing. Dr. McGowan has performed more endoscopic sleeve revisions than any physician in the country, ensuring that you will receive the absolute best care and results. And as a patient at True You, you will receive a comprehensive after care program, with a dedicated bariatric dietitian assisting you on your journey.
24/7 Physician Access
Whether you live in North Carolina, or are traveling from another state, you will receive the highest level of concierge care, with 24/7 direct access to your physician via personal cell phone, text, email, and video chat. We remain committed to your success throughout your weight loss journey.


Sleeve Revision: $6,995
The Sleeve Revision is a short, 15-minute procedure with a fast recovery. It has proven, long-term results, is clinically proven, and restores the sleeve to its original tightness. The non-surgical revision allows you to feel full again and lose weight.

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