Cosmetic Treatments To Enhance Ozempic Weight Loss

Written by Cameron Craven, MD, FACS, Board Certified Plastic Surgeon on November 7, 2023 No Comments

ozempic weight loss


Ozempic® has transformed the lives of millions on a global scale. Marketed under the brand name Wegovy and the generic name semaglutide, when used off-label this medication has become a beacon of hope for those struggling with obesity and related health concerns. While Ozempic’s efficacy in shedding excess weight is well-documented, the journey to achieving a slimmer figure often comes with a significant aesthetic challenge: loose or sagging skin. This aftermath can significantly impact the patient’s appearance, making the remarkable weight loss journey appear less rewarding. As weight loss occurs holistically across the body, skin sagging can manifest in various areas, necessitating the consideration of cosmetic treatments to enhance the overall aesthetic outcome.

Understanding How Ozempic Facilitates Weight Loss

Before delving into the cosmetic treatments that can complement Ozempic-induced weight loss, it is crucial to understand the mechanism behind Ozempic’s effectiveness. Ozempic, belonging to the class of glucagon-like peptide-1 (GLP-1) receptor agonists, works by increasing insulin secretion, reducing glucagon secretion, and slowing gastric emptying. These combined actions culminate in reduced appetite, increased satiety, and ultimately, weight loss.

Treatments for “Ozempic Face”

The phenomenon of ‘Ozempic face’ characterizes the changes in facial appearance often observed in patients who have undergone significant weight loss (as is common with people using Ozempic or other similar medications). These same changes frequently also occur in patients who undergone bariatric surgery, are on weight loss medications, or have achieved significant weight loss through traditional methods (i.e., diet and exercise).  These changes primarily include the loss of facial fat, which can lead to a sagging, aged facial appearance. Alongside this, the development of “wrinkling” and “heaviness” around the eyes, temples, jaw, and mouth is not uncommon, especially among middle-aged Ozempic users. To address these concerns, various cosmetic treatments can be employed, catering to different aspects of facial aging.

Restoring Lost Volume

Dermal Fillers

Dermal fillers, a popular non-invasive option, can effectively restore lost volume in the face, plumping up areas that have thinned due to fat loss. By carefully injecting these fillers into targeted areas, such as the cheeks and lips, skilled practitioners can achieve a more youthful and rejuvenated appearance for patients grappling with the consequences of weight loss-induced facial fat loss.

Fat Transfer

Fat transfer procedures involve the transfer of fat from other parts of the body to the face. This technique allows for natural-looking volume restoration, often yielding longer-lasting results compared to dermal fillers. By leveraging the body’s own fat reserves, plastic surgeons can sculpt the face, counteracting the effects of volume loss and providing a more harmonious facial profile for patients.

Tightening Skin

Apart from addressing volume loss, tightening loose skin is crucial in combating the sagging appearance associated with Ozempic face.


Ultherapy, a non-invasive procedure that uses focused ultrasound energy, can stimulate the production of collagen, ultimately tightening and lifting the skin.

Laser Skin Resurfacing

Laser skin resurfacing procedures can improve skin texture and promote collagen production, contributing to a smoother and more youthful complexion.


Ellacor treatments, known for their skin-tightening properties, can further aid in rejuvenating the facial skin, reducing the effects of sagging caused by rapid weight loss.

Plastic Surgery Procedures

For individuals with more severe manifestations of Ozempic face, considering plastic surgery procedures like facelifts and neck lifts might be a viable option. These surgical interventions can effectively address excess skin and muscle laxity, providing comprehensive rejuvenation to those looking to restore their facial contours and achieve a more youthful appearance.


A facelift, also known as rhytidectomy, is a surgical procedure aimed at reducing the visible signs of aging in the face and neck. It is one of the most comprehensive approaches to addressing facial wrinkles, sagging skin, and other age-related changes. The procedure involves tightening the underlying facial muscles, repositioning the skin, and removing excess skin to create a more youthful and rejuvenated facial appearance.

Neck Lift

A neck lift is a surgical procedure that aims to improve the visible signs of aging in the jawline and neck. It is designed to address sagging skin, excess fat deposits, and muscle banding in the neck region, helping to create a smoother and more youthful contour. A neck lift is often performed in conjunction with a facelift but can also be done as a standalone procedure to specifically target concerns in the neck area.

Enhancing Skin Quality

In addition to addressing volume loss and skin tightening, improving overall skin quality is pivotal in ensuring a comprehensive aesthetic enhancement post-Ozempic weight loss. Establishing and maintaining a robust skincare routine is essential, encompassing key elements such as regular sun protection, gentle cleansing, and adequate moisturization. Incorporating an anti-aging serum fortified with ingredients like peptides, retinol, and vitamin C can further aid in promoting collagen synthesis, enhancing skin elasticity, and mitigating the visible signs of aging.

Treatments for Ozempic Body

In tandem with the changes observed in the facial region, the rest of the body can also undergo significant transformations following weight loss with Ozempic. Given the likelihood of considerable fat reduction, certain body areas may experience varying degrees of excess, sagging skin, necessitating tailored cosmetic interventions to optimize aesthetic outcomes.

Addressing Moderate to Severe Skin Sagging

For patients grappling with moderate to severe skin sagging in specific body regions, undergoing plastic surgery procedures can yield transformative results. The following procedures can significantly enhance the body contours of patients undergoing weight loss with Ozempic.

Arm lift

Arm lift procedures, commonly known as brachioplasty, can effectively remove excess skin and fat from the upper arms, resulting in a more toned and defined arm contour.

Thigh lift

Thigh lift procedures can target sagging skin in the thigh region, contributing to improved lower body proportions and a smoother, more sculpted silhouette.

Tummy tuck

Tummy tucks, or abdominoplasty procedures, can address sagging skin and weakened abdominal muscles, particularly beneficial for patients with excess skin around the abdomen following significant weight loss.

Breast lift

Breast lift surgeries can help combat the effects of breast ptosis, lifting and reshaping the breasts to achieve a more youthful and uplifted appearance.

Augmenting Lost Volume

In instances where patients experience volume loss in specific areas such as the buttocks or breasts, procedures like the Brazilian Butt Lift (BBL) and breast augmentation via implants can offer a comprehensive solution.

Brazilian butt lift

A Brazilian butt lift (BBL) is a cosmetic procedure designed to enhance the shape and size of the buttocks, providing a more lifted and rounded appearance. Unlike traditional butt augmentation techniques that use implants, the BBL involves a fat transfer process that utilizes the patient’s own body fat to augment the buttocks.

Breast implants

Breast implants can help restore lost volume and enhance the overall shape and symmetry of the breasts, thereby achieving a more proportionate and aesthetically pleasing body contour.

On the journey toward achieving significant weight loss with Ozempic, the resulting changes in facial and body contours can present unique aesthetic challenges. While loose or sagging skin remains a common concern, the array of cosmetic treatments available can effectively complement the weight loss journey, ensuring a more comprehensive and satisfying transformation. From non-invasive techniques like dermal fillers and Ultherapy to more intricate surgical interventions such as facelifts and tummy tucks, patients can access a diverse range of options catered to their specific needs and aesthetic goals. By consulting with experienced practitioners and plastic surgeons, prospective patients can embark on a transformative aesthetic journey, embracing the full spectrum of possibilities to enhance their appearance and regain confidence following Ozempic-induced weight loss.

Cameron Craven, MD, FACS

Cameron Craven MD, FACS is board certified by the American Board of Plastic Surgery. Dr. Craven specializes in the full spectrum of cosmetic surgery including breast augmentation, liposuction and body contouring, facial rejuvenation, laser surgery, eyelid surgery, and rhinoplasty, as well as reconstructive surgery for skin cancers.

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