As weight-loss medications like Ozempic and other GLP-1 drugs continue to soar in popularity, plastic surgeons are reporting an increase in new cosmetic complaints linked to users’ rapid fat loss.
Patients and doctors alike have begun referring to some of these effects with tongue-in-cheek nicknames such as “Ozempic earlobes,” a term for earlobes that appear thinner or sag more after weight reduction.
“The use of semaglutides causes you to lose fat across your body, including the small, fat pads of the earlobes,” facial plastic surgeon Sachin S. Parikh, MD, told NewBeauty.
According to Parikh, the issue is purely aesthetic. “It’s important to note that semaglutides do not damage ear tissue or affect hearing in any way, so any intervention would be purely cosmetic,” he said.
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To correct the change, patients are exploring procedures such as dermal fillers, fat transfers, laser treatments, or earlobe reduction surgery.
Dr. Mohammed Asif, a plastic surgeon at Duly Health and Care in Naperville, Illinois, said he has seen a rise in body contouring procedures attributed to GLP-1-related weight loss, though not specifically in earlobes.
“There has been a significant increase in body contouring procedures among patients with GLP-1 weight loss,” Asif told Fox News Digital, citing breast lifts, panniculectomies (skin removal surgeries), abdominoplasties (tummy tucks), brachioplasties (arm lifts), and thighplasties.
He added that recovery from such procedures is “far greater and less complicated” than after bariatric surgery because GLP-1 users lose weight gradually over time.
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Another frequent concern is known as “Ozempic breast,” said Dr. Michael Omidi, a double board-certified plastic surgeon based in Beverly Hills.
“When you’re taking drugs like Ozempic or Wegovy that cause rapid weight loss, women can see gravity take its toll on their breasts,” Omidi explained.
He noted that breasts composed of fat, glandular tissue, and skin may lose volume unevenly, leading to a “saggy and deflated” appearance.
Similarly, Dr. Samuel Golpanian, another double board-certified plastic surgeon in Beverly Hills, said he has seen “dozens” of patients seeking treatment for “Ozempic butt,” which occurs when rapid fat loss flattens or loosens the appearance of the buttocks.
“This is an unintended consequence of taking GLP-1s,” Golpanian told Fox News Digital. “Such dramatic weight loss in a short period of time causes the skin not to tighten quickly enough to keep up with the body’s changes.”
Kristy Hamilton, MD, a Houston-based surgeon and member of the American Society of Plastic Surgeons, confirmed that more patients are coming in for skin-tightening procedures after large weight reductions induced by GLP-1 drugs.
“We’re absolutely seeing more of those patients, and I expect that trend to continue,” she said in an ASPS report, noting that some people lose up to 100 pounds on these medications.
The ASPS lists the most common post-weight-loss surgeries as tummy tucks, lower body lifts, arm and thigh lifts, breast lifts, and face or neck lifts.
To help manage cosmetic changes from rapid weight loss, some experts recommend maintaining adequate protein intake and engaging in resistance training.
Golpanian emphasized these strategies, saying, “It can be harder since your appetite is suppressed, but it’s so important to consume at least 110 grams of protein a day while taking a GLP-1 drug.”
He also advises patients to lift weights to help prevent muscle atrophy and maintain tone as body composition changes.
These medical professionals all agree on one point: as GLP-1 drugs reshape patients’ bodies, more of them are turning to cosmetic interventions to feel comfortable in their new skin.
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