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Scarless Sleeve Surgery | Advanced Treatment

Scarless sleeve surgery is a revolutionary approach to combating obesity without any external scars. This unique, minimally invasive weight-loss procedure offers a faster recovery time and no lasting visible marks. Consult with our expert bariatric surgeons at Pristyn Care to understand how it can benefit you. Book your appointment with Pristyn Care today and embark on your transformative health journey.

Scarless sleeve surgery is a revolutionary approach to combating obesity without any external ... Read More

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    Dr. Mohit Bhandari (1GjaBJ9kjC)

    Dr. Mohit Bhandari

    MBBS, MS, DMAS (France)
    22 Yrs.Exp.

    5.0/5

    22 Years Experience

    location icon Plot 13, KH Ara Marg, Sector 56, Gurugram
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    080-6541-4421
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    Dr. Sasikumar T (iHimXgDvNW)

    Dr. Sasikumar T

    MBBS, MS-GENERAL SURGERY, DNB-PLASTIC SURGERY
    23 Yrs.Exp.

    4.6/5

    23 Years Experience

    location icon No.128, D Block, 1st Main road, Kilpauk Garden Road, Annanagar East, Chennai, Tamil Nadu 600102
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    080-6541-7851
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    Dr. M Ram Prabhu (bNoNbBGGix)

    Dr. M Ram Prabhu

    MBBS, DNB-Plastic Surgery
    16 Yrs.Exp.

    5.0/5

    16 Years Experience

    location icon Plot no 12, PMR Avenue, Jai Hind Gandhi Rd, Cyber Hills Colony, Madhapur, Telangana 500081
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    080-6541-7928
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    Dr. Abhishek Vijay Kumar (W074g1hBG5)

    Dr. Abhishek Vijay Kumar

    MBBS, MS - General Surgery, M.Ch. - Plastic Surgery
    14 Yrs.Exp.

    4.6/5

    14 Years Experience

    location icon 44 4th Cross, Kanakapura Rd, Raghuvanahalli, BLR
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What is Scarless Sleeve Surgery?

Scarless sleeve surgery is an innovative weight-loss procedure that significantly reduces the size of the stomach without requiring any external incisions, thus leaving no scars post-operation. This method involves suturing the stomach to create a smaller sleeve. Consequently, this smaller sleeve limits food intake and promotes weight loss. It is especially attractive for those seeking weight loss solutions with minimal recovery time and cosmetic concerns regarding scarring. Essentially, it offers a less intrusive and more aesthetically appealing alternative to traditional weight loss surgeries. Scarless sleeve surgery is performed by specialised bariatric surgeons who are trained in minimally invasive surgical techniques.

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What are the Types of Scarless Sleeve Surgery?

There are various types of scarless sleeve surgeries available in the medical field today:

  • Endoscopic Sleeve Gastroplasty (ESG): The primary form of scarless sleeve surgery. It uses an endoscope to place sutures in the stomach, effectively reducing its size without any incisions. As a result, patients typically experience a significant reduction in stomach volume, leading to decreased appetite and increased fullness after meals.
  • Single-Incision Laparoscopic Surgery (SILS): While not entirely scarless, this technique uses a single incision, usually at the navel, to perform gastric sleeve surgery. This method minimises scarring compared to traditional laparoscopic techniques that often involve multiple incisions.

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Diagnosis Before Scarless Sleeve Surgery

To determine whether you are an appropriate candidate for Scarless Sleeve Surgery, your doctor will evaluate your overall health and obesity-related conditions. The diagnosis typically includes the following assessments:

  • Medical History Review: This includes discussing weight history, previous weight-loss attempts, dietary habits, and physical activity levels. Family health history may also be considered to identify genetic predispositions to obesity-related conditions.
  • Physical Examination: A general physical exam is performed to assess overall health, including vital signs and a thorough examination of the abdomen.
  • Additional Health Assessments: Doctors may check for obesity-related health issues, such as high blood pressure, high cholesterol, and diabetes, to evaluate the overall impact of obesity on health.

What is the Procedure for Scarless Sleeve Surgery?

The procedure for Scarless Sleeve Surgery involves a minimally invasive technique that can offer several benefits, including reduced recovery time and minimal scarring. Here is what you can expect from the surgery:

  • Anaesthesia: You will be placed under general anaesthesia for the duration of the surgery to ensure you do not experience any discomfort.
  • Incision: A single small incision is made, usually at the belly button. This incision is designed to heal in such a way that it becomes nearly invisible over time.
  • Surgical Technique: Using laparoscopic tools, the surgeon reduces the size of your stomach by about 70%, creating a sleeve-like structure. This can be achieved either through traditional laparoscopic methods or using specialised instruments for more precision.
  • Recovery: The surgery generally lasts about an hour, and you can often return home within a couple of days. Postoperative care includes gradually reintroducing food—starting with liquids, then purees, and finally solids—over several weeks.
  • Outcomes: Significant weight loss is typically observed, often with patients losing 60-70% of their excess weight within the first six to nine months post-surgery. This surgery aims to help you feel full after consuming smaller portions, addressing both the physical and hormonal aspects of obesity.

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Who is the Right Candidate for Scarless Sleeve Surgery?

Choosing to undergo Scarless Sleeve Surgery is a significant decision that should be made in consultation with a doctor. Suitable candidates for the scarless sleeve surgery procedure generally meet the following criteria:

  • BMI: You may be a good candidate if your BMI is higher than 40, or greater than 35 with obesity-related health conditions such as diabetes or hypertension.
  • Age: Patients over 50 years old with a BMI greater than 50 are often considered suitable, as well as those aged 20 to 50 with a BMI between 35 and 50.
  • Ineffectiveness of Conventional Weight Loss Methods: If you have tried diet and exercise but have not achieved sustainable weight loss, your doctor may recommend Scarless Sleeve Surgery as a more effective solution.

What are the Benefits of Scarless Sleeve Surgery?

Scarless sleeve surgery offers a plethora of benefits. These include:

  • Cosmetic Benefits: The most striking benefit of scarless sleeve surgery is the absence of any visible scarring post-operation. This makes it an attractive choice for those concerned about the cosmetic impact of the surgery.
  • Reduced Pain and Recovery Time: Patients typically experience less pain post-operation compared to traditional multi-incision surgeries. Recovery is also quicker, allowing patients to return to their everyday routine within 1 to 2 days, compared to the 5 to 10-day recovery period typical of standard laparoscopic procedures.
  • Lower Risk of Complications: Fewer incisions mean a reduced risk of infection or nerve damage. The single incision technique also minimises blood loss and reduces the potential for hernias.
  • Effective Weight Loss: Like its traditional counterpart, this technique effectively curtails stomach size, leading to significant weight loss, often around 60-70% of excess weight. This has a positive domino effect on health outcomes, including remission of obesity-related conditions such as type 2 diabetes and hypertension.

How to Prepare for Scarless Sleeve Surgery?

Preparing for scarless sleeve surgery is essential for a successful outcome. Here are some steps to consider:

  • Weight Management: Before surgery, patients are often advised to lose approximately 5-10% of their body weight through diet and exercise. This helps reduce liver size and facilitates better surgical conditions.
  • Medical Evaluation: A rigorous medical evaluation is needed to assess overall health and identify any potential risks. This may include blood tests, imaging studies, and additional consultations with specialists if other medical conditions are present.
  • Nutritional Counselling: Meeting with a nutritionist to understand dietary changes needed before and after surgery can prove beneficial. It aids in setting realistic expectations and preparing for the postoperative diet.
  • Mental Preparation: As substantial weight loss can impact mental health, psychological support is also crucial. Patients should be prepared for the lifestyle changes that accompany significant weight loss.

What are the Recovery Tips and Precautions to Follow After Scarless Sleeve Surgery?

After undergoing scarless sleeve surgery, it is crucial to adhere to postoperative guidelines for a smooth recovery:

  • Diet Progression: Initially, patients will follow a liquid diet for the first week, move onto pureed foods for 2-4 weeks, and then gradually reintroduce solid foods. Following this progression helps prevent complications.
  • Hydration: Drinking plenty of fluids throughout the day is vital, especially during the early recovery phase.
  • Activity Levels: Light physical activities such as walking are encouraged soon after surgery to stimulate circulation and avert complications like blood clots. However, strenuous activities should be sidestepped for several weeks.
  • Follow-Up Care: Regular follow-up appointments with the surgical team are crucial to monitor progress, manage any complications associated with the scarless sleeve surgery, and modify dietary plans as needed.

Potential Risks or Complications Associated With Scarless Sleeve Surgery

While generally safe, scarless sleeve surgery does carry some potential complications:

  • Nutritional Deficiencies: Despite being less common, vitamin and mineral deficiencies can still occur and may require lifelong supplementation.
  • Leakage: There is a possibility of leakage at the surgical site, which can result in serious issues and might necessitate further intervention.
  • Infection: Infections can still occur at the incision site despite the reduced risk.
  • Gastro-oesophageal Reflux Disease (GERD): Some patients may experience heightened symptoms of GERD after surgery, which may require management.
  • Weight Regain: Maintaining lifestyle changes is key, as some patients may regain weight over time.

What is the Cost of Scarless Sleeve Surgery in India?

In India, Scarless Sleeve Surgery may vary depending on various factors. Here is a breakdown of the factors that can impact this price:

  • Hospital: The cost may vary depending on whether you choose a government-run hospital or a private one. Private hospitals generally have higher costs due to the more personalised services they offer.
  • Surgeon: More experienced surgeons often charge more for their services. Their experience and reputation contribute to an increased cost.
  • Place of Treatment: Cities with a higher cost of living usually have higher healthcare costs as well.
  • Postoperative Care: This includes follow-up visits, nutritional supplements, counselling, and any required treatments or tests after the surgery. These costs will add to your total expenditures.

Is Scarless Sleeve Surgery Covered Under Insurance?

One important aspect considering the scarless sleeve surgery is whether or not it is covered under insurance. Traditionally, insurance companies have been skeptical about sleeve gastrectomy procedures. In general, scarless sleeve surgeries are not covered by insurance policies because they are often viewed as cosmetic procedures rather than medically necessary ones.

However, traditional sleeve gastrectomy could possibly be covered by insurance if it is deemed medically necessary for treating serious health issues such as obesity, diabetes, hypertension, or sleep apnoea. Each insurance policy differs, and coverage may depend on several factors such as whether the individual has tried non-surgical methods of weight loss previously and if these methods have proved ineffective.

Before opting for the surgery, it is crucial to review your insurance policy carefully and consult with your provider to understand what is covered and what is not.

FAQs around Scarless Sleeve Surgery

How is scarless sleeve surgery different from traditional sleeve surgery?

Scarless sleeve surgery, as the name suggests, is a surgical procedure that does not involve any external cuts or scars. Traditional sleeve surgery, on the other hand, involves making visible incisions on the body.

What technology is used in scarless sleeve surgery?

In scarless sleeve surgery, doctors use advanced endoscopic techniques. This minimally invasive approach allows surgeons to operate through the patient’s natural body openings, eliminating the need for external incisions.

How does scarless sleeve surgery work?

In scarless sleeve surgery, a flexible tube or endoscope is inserted through the mouth and into the stomach. The surgeon then uses specialised tools to reduce the size of the stomach, making it a tubular shape.

What conditions can be treated with scarless sleeve surgery?

Scarless sleeve surgery is often used to treat morbid obesity – a condition that poses serious health risks if not addressed promptly. It helps patients reduce weight and improve their quality of life.

What are some potential scarless sleeve surgery complications?

While scarless sleeve surgery is generally considered safe, there is always a risk involved with any surgical procedure. Possible complications include bleeding, infection, adverse reactions to anaesthesia, and other unforeseen medical issues. Always consult with your doctor about the potential risks of scarless sleeve surgery.

Can everyone opt for scarless sleeve surgery?

The suitability of scarless sleeve surgery depends on various factors such as the patient’s health condition, age, weight and their ability to comply with the post-operative care regimen.

How long does it take to recover from the scarless sleeve surgery?

Recovery times for scarless sleeve surgery may vary depending on individual circumstances, but generally, patients can start their regular activities after a few days of rest post-surgery.

Are there dietary restrictions following scarless sleeve surgery?

Yes, post-surgery, patients must adhere to a special diet, usually prescribed by their doctor. It starts with a liquid diet that gradually progresses to soft foods and then regular meals over the course of several weeks.

Can scarless sleeve surgery be reversed?

Scarless sleeve surgery is generally considered a permanent procedure as it involves removing a portion of the stomach. However, in some special circumstances, it might be reversible.

How effective is scarless sleeve surgery for weight loss?

Scarless sleeve surgery has proven to be quite effective in promoting significant weight loss. However, it should be paired with a healthy lifestyle, regular exercise, and a balanced diet for the best results.

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Medically Reviewed By
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Dr. Mohit Bhandari
22 Years Experience Overall
Last Updated : July 9, 2025

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