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What to Know About “Ozempic Face”

Dorianne Green
Written by:
Dorianne Green
Medical Writer
Dr. Michael Chichak
Medical Reviewer:
Dr. Michael Chichak
MD
The medications listed on this website are provided for informational purposes only.
Their inclusion does not guarantee they will be prescribed to any individual, as treatment decisions are ultimately at the discretion of healthcare providers. Healthcare providers may prescribe other medications or recommend non-pharmacological treatment based on the patient’s unique health circumstances and needs. Ozempic is used off-label for weight management; in the USA, the semaglutide formulation registered for weight loss in specific circumstances is Wegovy. Read more

Ozempic (semaglutide) has a boxed warning[1] , the most serious type of warning from the Food and Drug Administration (FDA). The medication carries a risk of thyroid C-cell tumors and is contraindicated in patients with a personal or family history of MTC or in patients with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2). Remember to discuss the risks with your healthcare provider.

  • Ozempic face describes the face changes that might occur after using semaglutide for weight loss.
  • Signs of an Ozempic face can include sunken eyes, hollow cheeks, sagging skin, and wrinkles.
  • Ozempic face is not a direct side effect of the medication, but rather a result of rapid weight loss that affects the facial fat cushions.
  • The best advice for avoiding the Ozempic face is to ensure a gradual weight loss, giving the skin time to adapt.
  • Ozempic, a trade name of semaglutide, is a medication registered for glucose control in patients with diabetes and used off-label for weight loss; Wegovy (semaglutide) is registered for weight management in the USA.

The media is buzzing with stories about Ozempic face, but before we can get into this topic, you’ll need some background.

Ozempic, the generic name of which is semaglutide, was initially developed to manage diabetes type 2, but it was also found to have a positive effect on weight loss. Ozempic became a popular off-label weight loss medication, and subsequently, the FDA approved semaglutide under the trade name Wegovy to treat obesity in 2021[2] .

Unfortunately, people using Ozempic for weight management, and outsiders following semaglutide users’ weight loss journey, sometimes notice facial changes on the semaglutide, and not for the better.

In this article, we will answer the question, “Is Ozempic face real?” as well as how to prevent and treat it.

Get a personalized weight loss plan and ongoing support online at MEDvidi.

What Is Ozempic Face?

“Ozempic face” means the gaunt appearance and loose skin resulting from rapid weight loss when taking Ozempic. It is not an official medical term, but a phrase popularized by the media. Other less common terms are “Ozempic weight loss face,” “semaglutide face,” and “Wegovy face.”

Kugler T. American Academy of Facial Plastic and Reconstructive Surgery. American Academy of Facial Plastic and Reconstructive Surgery. Published 2023. Accessed June 9, 2025.

Other weight loss medications in the same class as Ozempic, glucagon-like peptide-1 (GLP-1) agonists, can also lead to rapid weight loss. So, there are also terms like tirzepatide face, Mounjaro face, and Zepbound face on online platforms.

Let’s look at why.

GLP-1 is a natural hormone[3] that works when you eat. It keeps food in the stomach longer, making you feel full and satisfied, decreasing hunger and food cravings. An agonist imitates an effect, so a GLP-1 agonist like semaglutide increases the GLP-1 effect. This means most people lose weight quickly when on Ozempic and similar medications because they:

  • Are less hungry
  • Feel satisfied after a meal
  • Feel fuller for longer
  • Have fewer cravings for sugars and refined carbohydrates
  • Experience nausea at the beginning of treatment

“Ozempic face” has become the blanket term for this post-GLP-1 receptor agonist appearance because celebrities and influencers have demonstrated their rapid weight loss, using the semaglutide marketed as Ozempic[4] , on social media.

Psychosocial Impact and Media Perception

The web is filled with Ozempic face before and after pictures; some people might share their transformation because they aren’t happy with the change and want to raise awareness; for others, the motivation might be pride about the weight they have lost, expecting congratulations rather than comments about sagging skin and wrinkles. 

However, social media thrives on controversial health topics, especially “vanity gone wrong”. Unfortunately, it is human nature to find something satisfying in the misfortune of others; it makes people feel better about themselves somehow, or it might give a sense of justice. For example, one may think that using a “quick fix medication” to lose weight instead of the challenging route of lifestyle changes should have consequences.

Social media provides anonymity and emotional distancing, allowing judgment to become clickbait and Ozempic face photographs to go viral, — leaving little room to consider why people were prescribed semaglutide in the first place.

This can have emotional and social consequences, and people who have facial changes due to semaglutide use might:

  • Experience body shame, become obsessed with appearance, and feel unattractive.
  • Have poor self-esteem, lose confidence, avoid social interactions, and isolate themselves.
  • Develop mental health conditions like depression and anxiety.
  • Lose trust in healthcare professionals.
  • Stop their vital medication.

Also, people who legitimately need GLP-1 receptor agonists may refuse treatment because of fear of judgement, or the cosmetic consequences.

This is why balanced, factual conversations around this topic are essential. 

People should be informed that GLP-1 receptor agonists are not necessarily the problem, but their inappropriate use, or fast and significant weight loss, is.

What Does Ozempic Face Look Like?

Another way to describe Ozempic face is skeletonized[4] ; the volume loss of fat pads and soft tissues leaves a bony outline, making people appear older than they are. Examples of Ozempic face changes are:

  • Sunken eyes
  • Dark circles around the eyes
  • Sagging skin, especially around the neck and jaw
  • More wrinkles and fine lines
  • Thin lips
  • Hollow cheeks

What Causes Ozempic Face?

The facial appearance changes while on Ozempic are not a direct effect of the medication but rather a natural consequence of weight loss.

When losing weight on GLP-1 receptor agonists, fat loss occurs everywhere, including facial fat. Ozempic face starts when these facial fat pads shrink, leaving dents, dips, or thinning where they once were; also, there is no longer support for the skin over these areas, so it sags and wrinkles.

"“Ozempic face” can also result from a disproportionate loss of muscle tissue due to unintentional and poor eating habits among patients taking GLP-1 medication like Ozempic. When the body goes through a relative protein deficit, it will utilize existing muscle tissue (including facial muscles) to supply essential amino acids for necessary body functions, which can show up in facial structure as well. This points to the extremely important role of proper nutrition during weight loss. 

Make sure to consult with your healthcare provider prior to making any medication or lifestyle changes."

Dr. Michael Chichak, MD
Medical provider at MEDvidi

These indirect Ozempic ‘side effects’ on skin can happen anywhere there are fatty deposits, including the neck, arms, legs, belly, and breasts, and have led to phrases like:

  • Ozempic skin
  • Ozempic butt
  • Ozempic chin
  • Ozempic body

Because semaglutide often causes rapid weight loss, — an average of 6% total body weight at 3 months[5] of use, — and prescription numbers have increased dramatically, it has become the social media focus.

However, it makes sense that any cause of extreme weight loss can cause the same hollowed-out facial look, including using other weight loss medications such as appetite suppressants or unintentionally losing weight due to famine, illness, or extreme hardship.

Naturally, the next question is, does everyone get Ozempic face?

Who Is Most at Risk?

Unfortunately, anyone who loses weight rapidly will be at risk, but older patients are more prone to having facial changes because of weight loss on GLP-1 receptor agonists. Losing facial volume and low facial skin elasticity is part of the natural aging process, so they are starting with a disadvantage.

"One of the major risk factors of utilizing a GLP-1 medication is the development of a relative calorie deficit arising from a high-carbohydrate, low-protein diet. This can lead to losing muscle mass disproportionately to body fat mass, while the goal of most weight loss regimens is to lose more fat than protein. So, simply reducing the appetite without ensuring proper nutrition can set a person up for a disproportionate muscle mass loss."
Dr. Michael Chichak, MD
Medical provider at MEDvidi

Some people don’t lose a lot of weight or don’t lose it quickly. A trial showed that after 68 weeks on semaglutide:

  • 13.6% did not lose at least5% and can be considered non-responders. 
  • 30.9% did not lose at least 10%
  • 49.5% did not lose at least15%

Still, it means that many of those taking semaglutide have more significant weight loss results and can experience Ozempic face.

People who have to lose more weight to get to their goal, for example, 100 pounds vs 20 pounds, are more likely to have noticeable changes. Also, because women lose more weight than men on semaglutide[6] , you might expect to see fewer Ozempic faces in men than in women.

See a licensed medical provider online to learn what weight loss plan is right for you.

Other Side Effects of Ozempic

Like any other weight loss prescription medication, semaglutide has many possible side effects:

  • Pain and redness at the injection site
  • Low blood sugar
  • Nausea and vomiting
  • Diarrhea or constipation
  • Abdominal pain
  • Gallsotones
  • Inflamed pancreas
  • Risk of thyroid tumors
  • Tiredness
  • Dizziness
  • Headache
  • Rashes and allergies
  • Anxiety
  • Hair loss

You should contact a doctor immediately if anything unusual develops after starting a new medication.

Can You Avoid Getting Ozempic Face Changes?

The most accurate advice on how not to get Ozempic face is to ensure a slower weight loss.

This means 1 to 2 pounds per week for 6 months, then reassess. Lower doses might help to slowly reach a healthy weight, in combination with long-term lifestyle changes as a part of weight management strategy to maintain low body fat.

Other tips on how to prevent Ozempic face are focused on good overall health, ensuring healthy skin by stimulating elastin and collagen production and supporting the skin from underneath with a structure of muscle rather than fat.

  • Taking part in exercise programs can help to build muscle[7] in the buttocks, arms, and legs that can support the skin and add shape as the fat layer disappears.
  • Hydrolyzed collagen supplementation might improve skin hydration and elasticity[8] , which helps the appearance of fine lines and skin firmness. 
  • Avoiding sun exposure by wearing hats and daily sunscreen reduces photo-aging and damage.
  • A balanced diet rich in antioxidants, iron, iodine, zinc, and copper, vitamins A to E, and protein helps to ensure that skin stays inflammation-free and can heal, repair, and build skin and muscles.
  • Staying hydrated is so important. Water makes up more than 70% of body[9] cells and is essential for normal functioning. The skin is no different and is the largest organ in the body; dry skin cannot function properly.
  • Stopping alcohol and smoking cigarettes can delay skin aging[10] .
  • Looking after your skin with a good routine. It is important to clean and moisturize your skin twice a day, not forgetting the sunscreen. Read cream labels to see if they contain other ingredients that may help[11] to improve hydration, elasticity, and collagen function, such as hyaluronic acid and peptides.

But what if you’ve tried all of the above and still see facial changes?

Treatment Options

The idea behind cosmetic Ozempic face treatments is to restore lost volume and facial shape and improve skin elasticity and texture with skin tightening procedures. This can be done with non-surgical cosmetic procedures and plastic surgery.

Non-Surgical Treatments

  • Dermal fillers: Injectable facial fillers, especially ones that contain hyaluronic acid, restore volume and shape and increase skin hydration and elasticity.
  • Platelet-rich plasma (PRP) injections: PRP is made from the patient’s blood and is rich in growth factors that trigger skin repair.
  • Microneedling: Also called percutaneous collagen induction therapy, tiny needles injure the top layer of skin, which stimulates collagen production and improves skin elasticity.

Surgical Options

Any surgery carries the risks of anaesthesia, pain, bleeding, scarring, and infection; however, the results last longer than the non-surgical procedures. Consult with a healthcare provider to weigh all the benefits and risks.

  • Autologous fat grafting: This procedure involves fat transfer from one body area to another, for example, from the thigh to the face. It is harvested using liposuction techniques, processed, and injected at the new site.
  • Cheek implants: Implants are made from artificial materials and add definition to the cheeks. Surgeons place them under the skin through a cut made inside the mouth or under the eyelid.
  • Facelift and neck lift: This surgery[12] involves removing and repositioning loose skin for a smoother, tighter, more youthful appearance.

Natural Strategies

The tips on how to fix an Ozempic face naturally will be similar to the advice for preventing it. Hydrolyzed collagen supplementation, eating a balanced diet, exercising, avoiding the sun, stopping smoking and alcohol, and looking after skin with a good daily routine may help to improve the appearance of fine lines and skin firmness. Importantly, these are not solutions for restoring the face’s shape.

Does Ozempic Face Go Away or Is It Permanent?

Once the weight and fat are lost, Ozempic face will not automatically go away or improve over time. Sometimes, facial appearance might improve after stopping semaglutide, as many people[13] regain weight and fat pads reform; importantly, you should note that this is not guaranteed.

Conclusion

As you’ve learned, the rapid weight loss caused by Ozempic and other GLP-1 receptor agonists can lead to unwanted facial changes referred to on social media as Ozempic face. Understandably, this may worry you.

If you believe you qualify for weight loss treatment, discuss this with a healthcare provider. MEDvidi has licensed medical professionals who specialize in weight loss management, so advice is an online appointment away.

Frequently Asked Questions

No, Ozempic does not cause whole-body aging; the confusion about Ozempic face aging comes in because the dramatic weight loss can cause people to look older, leaving drooping skin, wrinkles, and hollow cheeks.
Ozempic face might go away after you stop using it; many people regain weight after stopping semaglutide, and the facial fat pad may reappear; however, this is not guaranteed.

Ozempic face might improve after stopping semaglutide because many people regain weight, and the facial fat pads may reappear; however, this is not guaranteed.

Yes, Ozempic causes nonselective fat loss, targeting all of the body’s fatty deposits.

Yes, taking Ozempic can leave saggy skin because losing weight quickly decreases the fat deposits that were supporting the skin.

Ozempic butt is the term used to describe the loss of shape, dimpling, and sagging skin of the buttocks seen after substantial weight loss from using Ozempic.

Taking hydrolyzed collagen supplementation might help Ozempic face by improving the skin hydration and elasticity[8] , reducing fine lines and skin firmness. However, it will not restore facial shape and volume.

Sources

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13 sources
  1. DailyMed - OZEMPIC- semaglutide injection, solution. Nih.gov. Published 2025. Accessed June 9, 2025.
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  2. Wegovy (semaglutide) FDA Approval History. Drugs.com.
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  3. Collins L, Costello RA. Glucagon-Like Peptide-1 Receptor Agonists. [Updated 2024 Feb 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.
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  4. Montecinos K, Kania B, Goldberg DJ. Semaglutide “Ozempic” Face and Implications in Cosmetic Dermatology. Dermatological Reviews. 2024;5(5).
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  5. Ghusn W, De la Rosa A, Sacoto D, Cifuentes L, Campos A, Feris F, Hurtado MD, Acosta A. Weight Loss Outcomes Associated With Semaglutide Treatment for Patients With Overweight or Obesity. JAMA Netw Open. 2022 Sep 1;5(9):e2231982. doi: 10.1001/jamanetworkopen.2022.31982. PMID: 36121652; PMCID: PMC9486455.
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  6. Jensterle M, Rizzo M, Janež A. Semaglutide in Obesity: Unmet Needs in Men. Diabetes Ther. 2023 Mar;14(3):461-465. doi: 10.1007/s13300-022-01360-7. Epub 2023 Jan 7. PMID: 36609945; PMCID: PMC9981825.
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  7. Konopka AR, Harber MP. Skeletal muscle hypertrophy after aerobic exercise training. Exerc Sport Sci Rev. 2014 Apr;42(2):53-61. doi: 10.1249/JES.0000000000000007. PMID: 24508740; PMCID: PMC4523889.
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  8. Pu SY, Huang YL, Pu CM, Kang YN, Hoang KD, Chen KH, Chen C. Effects of Oral Collagen for Skin Anti-Aging: A Systematic Review and Meta-Analysis. Nutrients. 2023 Apr 26;15(9):2080. doi: 10.3390/nu15092080. PMID: 37432180; PMCID: PMC10180699.
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  9. Cooper GM. The Cell: A Molecular Approach. 2nd edition. Sunderland (MA): Sinauer Associates; 2000. The Molecular Composition of Cells.
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  10. Cao C, Xiao Z, Wu Y, Ge C. Diet and Skin Aging-From the Perspective of Food Nutrition. Nutrients. 2020 Mar 24;12(3):870. doi: 10.3390/nu12030870. PMID: 32213934; PMCID: PMC7146365.
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  11. Draelos ZD, Diaz I, Namkoong J, Wu J, Boyd T. Efficacy Evaluation of a Topical Hyaluronic Acid Serum in Facial Photoaging. Dermatol Ther (Heidelb). 2021 Aug;11(4):1385-1394. doi: 10.1007/s13555-021-00566-0. Epub 2021 Jun 26. PMID: 34176098; PMCID: PMC8322246.
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  12. Derby BM, Codner MA. Evidence-Based Medicine. Plastic and Reconstructive Surgery. 2017;139(1):151e167e.
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  13. Wilding JPH, Batterham RL, Davies M, Van Gaal LF, Kandler K, Konakli K, Lingvay I, McGowan BM, Oral TK, Rosenstock J, Wadden TA, Wharton S, Yokote K, Kushner RF; STEP 1 Study Group. Weight regain and cardiometabolic effects after withdrawal of semaglutide: The STEP 1 trial extension. Diabetes Obes Metab. 2022 Aug;24(8):1553-1564. doi: 10.1111/dom.14725. Epub 2022 May 19. PMID: 35441470; PMCID: PMC9542252.
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Dorianne Green
Written by:
Dorianne Green
Medical Writer
Dr. Michael Chichak
Medical Reviewer:
Dr. Michael Chichak
MD
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