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A sunken face after losing a lot of weight - what to do about it?

29.10.2025 Dr. med. Rosmarie Adelsberger EMBA

Drugs such as Ozempic® or Wegovy® (both containing the active ingredient semaglutide) have helped many people to lose weight. The effect is clearly visible - the silhouette becomes slimmer, the facial contours finer. However, some people find that their face loses volume and their proportions change. Cheeks and temples appear sunken, fine lines become more prominent and the jawline loses definition. For many, this is an aesthetically disturbing effect. The term "ozempic face" has become established in the media.

Why the face looks older

When losing weight, fat melts not only on the stomach or hips - the fatty tissue in the face also decreases. This so-called "good fat" supports the skin from the inside and gives cheeks, temples and the jawline soft, youthful contours. If it is lost, the structures sag slightly, the face loses fullness and appears narrower. Fine lines, sunken areas and the beginnings of sagging cheeks become more prominent. The loss of this natural padding makes the face appear more tired and older - even though you often feel physically fitter.

Why the change is so emotionally distressing

When the body becomes slimmer, more vital and more defined, a new, positive self-image often emerges. At the same time, the loss of volume makes the face look older and more tired - a contradiction that irritates many people. This discrepancy between inner well-being and outward appearance can cause dissatisfaction because the face does not reflect the new attitude to life.

Can the "Ozempic Face" be prevented?

In part, yes. If you lose weight slowly and in a controlled manner, you protect the tissue. A protein-rich diet, sufficient fluids and vitamins such as C and E support skin elasticity. Regular facial treatments, lymphatic drainage and non-invasive therapies such as laser treatments, which stimulate blood circulation and promote collagen production, also help.

Is an "Ozempic Face" reversible?

The extent to which the skin recedes depends on many factors: Age, skin quality , genetics, rate of weight loss etc. However, if excess skin or significant sagging is still visible a year or so after weight loss, it will not usually disappear on its own. In such cases, a face-neck lift can help to bring the face back into balance with the new, slimmer body silhouette.

The aim is to achieve a natural result - as if you were simply a younger version of yourself without looking any different. The procedure tightens the skin, lifts sagging structures in the mid and lower face and redefines the jawline.

In addition, the result can be supported by fillers or autologous fat treatments to replenish lost volume and improve skin quality. This combination results in a balanced, vital appearance that is once again in harmony with your own body image.

Back in harmony: body image and appearance

"Ozempic Face" is nothing to worry about. Anyone who loses weight changes - and sometimes the face also needs support to look harmonious again.

The specialists at the Plastic Surgery Pyramid and the Aesthetic Medicine Pyramid combine modern, minimally invasive methods with surgical precision to restore natural proportions and clear contours - subtly, safely and individually tailored.

We are happy to advise you personally

Our doctors are all FMH specialists in plastic, reconstructive and aesthetic surgery. We are a well-rehearsed team that will take care of your wishes competently and comprehensively. You can rely on our extensive experience at all times. Arrange your personalised appointment now.

A personal consultation is the first step. Our doctors will take the time to analyse your wishes and anatomical requirements and recommend the most suitable method for you.

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