Flaccidity and ‘Ozempic Face’: the growing demand for surgeries after rapid weight loss

mulher medindo sua cintura com uma fita métrica, gordura abdominalmulher medindo sua cintura com uma fita métrica, gordura abdominal

mulher medindo sua cintura com uma fita métrica, gordura abdominal - Bigzumi/shutterstock.com

Recent innovations in the treatment of obesity, especially with the popularization of medications such as Mounjaro and Ozempic, have transformed the weight loss journey for many people. However, this accelerated weight loss has brought with it a new debate and a growing demand for aesthetic interventions, as noted by the medical sector on July 29, 2026. Terms such as “Ozempic Face” and “Mounjaro Makeover” are now part of the vocabulary of those seeking to understand the aesthetic effects of these rapid body transformations.

Initially, weight loss was focused purely on the scale, but the rapid process driven by these medications raises significant concerns. Many patients are faced with a new challenge: reconnecting with their own image in the face of sudden physical changes, which include sagging and loss of facial and body volume.

Significant increase in the search for post-weight loss procedures

The demand for plastic surgery and dermatological treatments after significant weight loss has increased. Data from 2024, released by the American Society of Plastic Surgeons, indicate that a considerable portion of weight loss medication users seek aesthetic solutions. The numbers show that:

  • 39% of patients who use these medications consider undergoing a surgical procedure.
  • 41% consider using non-surgical aesthetic treatments to combat sagging, loss of volume and excess skin.

In Brazil, plastic surgeon Heloise Manfrim, full member of the Brazilian Society of Plastic Surgery (SBCP), confirms the same trend, noticing an increase in the search for facial and body procedures. She explains that the profile of patients has changed, following the widespread popularization of these new medications and the greater number of individuals experiencing large weight losses in a short period of time.

Impacts of rapid weight loss on the body and face

Rapid weight loss, although desired, presents unique challenges to the skin and body tissues. Unlike gradual weight loss, where the body has more time to adapt, rapid fat reduction may not give the skin the chance to retract properly, resulting in marked sagging and loss of facial and body contours.

Carlos Manfrim, plastic surgeon and also member of SBCP, explains the situation. According to him, it is common to observe that, even with the ideal weight achieved, many patients face “physical marks that are difficult to ignore: sagging, excess skin, changes in facial volume and body disproportions”. This disproportion and the appearance of a “melted face” are frequent complaints in clinics.

“Ozempic Makeover”: the strategy to redefine the silhouette

Faced with new needs, concepts such as “Ozempic Makeover” and “Mounjaro Makeover” emerged. These expressions refer to a set of aesthetic procedures designed specifically for patients who have undergone major body transformations. The approach is similar to the well-known “Mommy Makeover”, which offers interventions after pregnancy.

Dr. Heloise Manfrim details that the strategy is to offer “a set of personalized approaches that aim to correct the aesthetic consequences of major weight loss”. This may include a combination of techniques for the face and body, always adjusted to the particularities of each patient.

Common complaints and the focus on patients’ self-esteem

Marcelo Rudy, another member of SBCP, points out that, although weight-loss pens have revolutionized the treatment of obesity, they have also generated new dissatisfaction linked to appearance due to uncontrolled weight loss. The main complaints presented by patients are changes in the breasts, abdomen, buttocks and face.

Many patients report that the search for weight loss also brought about the need to restructure areas such as the breasts and abdominal skin, in addition to recovering the volume of the buttocks and supporting facial structures. The ultimate goal is to reestablish body and facial harmony, allowing the patient to feel more comfortable and positively recognize themselves in the mirror after the transformation.

The most popular surgeries for face and body

For the face, the most popular procedures aim to restore lost volume and reposition tissues. Among them, facial lifting, blepharoplasty (eyelid surgery) and fat grafting (fat transfer for filling) stand out. According to Dr. Heloise, the intention is to “reposition sagging tissues, reducing the appearance of a ‘melted face’ and redefining the contour of the jaw.” Dr. Marcelo adds that complaints include deeper eyes, more evident furrows, falling eyebrows, excess skin on the neck and greater visibility of wrinkles.

In the body, the options vary depending on the patient’s needs. The most recommended techniques include abdominoplasty to remove excess skin in the abdominal region and, if necessary, repair the muscles; lifting of arms (brachioplasty) and thighs (cruroplasty) to combat severe sagging; and mammoplasty, with or without implants, to reposition the tissues and restore breast volume.

Dr. Carlos Manfrim emphasizes that the choice of each procedure is individualized, considering the characteristics of each patient. Advances in surgical techniques and the use of complementary technologies contribute to more natural results and better planned scars. In many scenarios, these surgeries are planned in stages, respecting the patient’s clinical conditions and an in-depth medical evaluation.

Dr. Heloise concludes by highlighting that post-weight loss plastic surgery goes beyond aesthetics, aiming to provide natural results that “preserve the essence of each patient”.