Suture Resculpt
Non-Surgical Bariatric Revision
body weight
What is Suture Resculpt
Endoscopic Revision?
Suture ReSculpt is an endoscopic revision procedure that helps restore or improve the results of a previous bariatric gastric sleeve or gastric bypass without undergoing an additional surgery. It can often help stop weight gain and restart your weight loss journey so you can reach your goals and look and feel your best.
How Is The Suture Resculpt Bariatric Revision Performed?
Suture ReSculpt uses endoscopic tools to access the areas that need correction so there are no incisions created or any need for a hospital stay. The entire procedure normally takes less than an hour to perform, and patients can go home the same day.
Which Bariatric Surgeries Can Be Revised with Suture Resculpt?
Suture ReSculpt can revise a gastric sleeve or gastric bypass if the original bariatric surgeries have become ineffective and are no longer promoting weight loss. The procedure usually takes under an hour and can correct issues that have stalled your weight loss progress and give you a second chance to reach your goals.

Gastric Sleeve Revision
The procedure uses a special endoscopic tool to strategically place sutures from inside your stomach using a specialized technique to stitch the stomach walls to one another, which will restore your stomach’s very limited capacity and help you with portion control once again.
This suturing technique is the same that is used during the Suture Sculpt endoscopic sleeve gastroplasty procedure and does not alter the blood or nerve supply of the stomach or negatively impact intestinal continuity.
Once the restriction is restored to your stomach, you will feel fuller faster, and you will eat fewer calories, which can lead to gradual but significant weight loss.

Gastric Bypass Revision
The Suture Resculpt revision of gastric bypass is performed using a special endoscopic procedure and without any incisions. While you are under anesthesia, a special tool called an endoscope is lowered down through your mouth and down your throat to gain access to your stomach. It has a tiny camera attached to it, and the whole procedure will be live streamed to a nearby screen in the operating room, so the doctor can work with complete precision.
Then a state-of-the-art suturing tool is used to tighten up areas that were treated during the first surgery and have loosened up. These areas may include the stomach pouch or the stoma (the connection between the stomach and the intestine), or sometimes both areas need correction. This will limit the amount of food that you can eat and that can travel through the pouch, keep you feeling full for longer, and restart your weight loss.
How Much Weight Can I Expect to Lose with Suture Resculpt?
A retrospective review reported that most patients lose an average of 19% of their excess body weight within the first month after their revision and 48% of their excess weight after 12 months. Excess body weight is the number of pounds a person is carrying that exceeds their ideal body weight.
Results vary because everyone’s circumstances are different, with different starting weights, weight loss goals, etc., but most continue to lose weight steadily if they implement and consistently follow healthy lifestyle habits.
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FAQs
An endoscopic revision may be recommended for patients who previously had bariatric weight loss surgery such as sleeve gastrectomy or gastric bypass surgery but whose weight loss has stalled or who are starting to regain weight. Individuals who may be good candidates for bariatric revision with Suture Resculpt include those who:
- Have regained weight after bariatric surgery.
- Did not lose enough weight after their original surgery.
- Have a stretched stomach pouch or outlet (stoma).
- Still have a BMI in the overweight or obesity range.
- Prefer a non-surgical revision option.
- Are willing to follow a structured weight loss program.
- Are in good physical health and can have an endoscopic procedure.
The doctor will review your medical history, medications, and stomach anatomy to ensure the procedure is a good fit for you.
One of the biggest benefits of undergoing Suture Resculpt is that not only can we fix the changes that have occurred so you can resume your weight loss journey, but we will also support you with the strategies, tools, and accountability that you need to maintain your results long-term.
Immediately after your Suture Resculpt revision to bariatric surgery, you will be taken to the recovery room and closely monitored by doctors and nurses. Once you wake up from the anesthesia, you will be given small amounts of liquid, and a nurse will help you get up and begin taking slow, short walks around the room. This will help get your circulation flowing and help prevent blood clots from forming.
After the doctor feels that everything looks good, which usually takes several hours, the patient is discharged into the care of their chaperone, who can take them home.
Recovery after an endoscopic revision to bariatric surgery usually only takes a few days. After your procedure, you will stay for observation for a few hours and then be discharged to go home to begin your recovery.
Most patients are able to resume their normal daily activities within a few days, and some patients even return to work in a day or two. There are no physical activity restrictions after an endoscopic revision, but some patients experience mild side effects like nausea or vomiting after their procedure, but these normally resolve in just a few days.
Your doctor will closely monitor your recovery progress and will check in with you frequently. You will also be provided with specific post-procedure instructions, which will help you know if things are going along smoothly or if you should contact your care team. You may also be given a prescription for minor side effects and mild discomfort that can happen after the procedure.
Results can vary among patients based on their initial weight and weight loss goals, but most patients lose an average of 20% of their total body weight in a year. Practicing healthy lifestyle choices long-term can result in additional weight loss and help you maintain your results.
Yes. In some cases, an endoscopic revision can be repeated if the stomach pouch or surgical connection gradually stretches again. A doctor can evaluate the anatomy of your stomach and overall health to determine if another endoscopic treatment is appropriate for you.
Yes. Most patients will need to follow a staged diet after the procedure to allow their stomach to heal. This usually starts with liquids, then soft foods, and eventually small portions of solid foods. To lose weight and maintain your results, you will need to continuously follow healthy lifestyle habits, which includes eating a healthy diet and getting enough exercise.
Yes, in many cases. Endoscopic revisions are performed through the mouth using an endoscope, so no abdominal incisions are required. This usually means lower risk for complications and faster recovery compared to surgical revision.
Results of an endoscopic revision can last for years if you follow healthy eating habits and attend your follow up visits. Maintaining your results long-term depends on lifestyle changes, nutrition, and ongoing support.
Yes. An endoscopic revision procedure can tighten the stoma, which is the opening between the stomach pouch and intestine. Making this opening smaller can help you feel full sooner and eat smaller portions.



