Stomach Botox / Gastric Balloon / ESG (Endoscopic Sleeve Gastroplasty) – Non-Surgical Gastric Sleeve Procedures

The effects of the treatment will vary depending on individual circumstances. Most people will notice a significant decrease in appetite and food intake about two weeks after the injection; a smaller number may take about a month to begin experiencing noticeable results.

The effects typically last for about six months. To prolong the weight loss effect, it is recommended to plan the next treatment six months to a year later.

Almost no recovery period! The treatment uses a minimally invasive technique involving endoscopic injection, requiring no surgery, sutures, or hospitalization. You can return home the same day and go back to work or school the next day.

Three major advantages of gastric botox:

✔ No stomach removal, no alteration to the digestive tract structure

✔ Low risk, fast recovery

✔ Mild pain and side effects, high safety

Gastric botox is a highly safe treatment, and common minor reactions are usually temporary:

• Stomach discomfort/bloating/nausea: Approximately 1% of patients experience transient discomfort, which usually subsides within 2–3 days.
• Decreased appetite: One of the therapeutic effects, which may be noticeable initially.
• Fatigue or weakness: A small number of people may experience temporary fatigue during the adaptation period.
• Constipation or slowed bowel movements: Drinking more water and increasing fiber intake can help.
• Mild soreness or bruising at the injection site: Generally subsides on its own within a few days.

A thorough evaluation by a professional physician is recommended before any injection. The following groups are not advised to undergo this procedure:

🚫 BMI greater than 35 (gastric bypass or gastric reduction surgery should be considered)

🚫 Pregnant or breastfeeding women

🚫 Patients with neuromuscular diseases (such as myasthenia gravis, muscular atrophy)

🚫 Individuals allergic to botulinum toxin

🚫 Individuals who have undergone gastric surgery (such as gastric reduction or bypass)

🚫 Individuals with severe gastroesophageal reflux or gastric ulcers

1 Day Before Surgery:

• Eat easily digestible foods, avoiding fried foods, pineapple, enoki mushrooms, and high-fiber, hard-to-digest foods.
• If taking aspirin or anticoagulants, inform your doctor in advance and discontinue use as instructed.

8–12 Hours Before Surgery:

• Completely fasting (no food, no water, no chewing gum).
• If taking medication, take it with a small amount of water as instructed by your doctor.

On the Day of Surgery:

• Do not wear jewelry, rings, necklaces, earrings, or other metal objects.
• Remove gel nail polish or nail polish to facilitate monitoring.

Common Temporary Reactions (Subsides within 2-3 days):

• Mild stomach discomfort, bloating, or nausea
• Slightly darker stool color (normal within 1-4 days post-procedure)

Injection Site Care:

• This is a minimally invasive injection wound; it will heal on its own in approximately 3 days
• If slight redness or swelling occurs, observation is sufficient
• If pain persists or abnormalities occur after 5 days, please return for a check-up

Dietary Recommendations:

First 2-3 days: Primarily liquid diet (clear broth, fruit juice)

From day 4 onwards: Gradually resume normal diet, avoiding overeating

Overall Recommendation: Low-fat, low-sugar, easily digestible to reduce stomach burden