Currently on Ozempic for weight loss, should I expect loose skin and will I require a tummy tuck? (photos)

Thank you, jwn101, for your question regarding the potential for loose skin after weight loss on Ozempic. Congratulations on your weight loss! By examining your photos, it does not appear that further weight loss will result in the need for a full tummy tuck. You may experience some skin laxity as you lose more weight, but it seems minimal, and a less invasive option, such as BodyTite, could effectively tighten your skin without the need for surgery.

BodyTite is a skin-tightening procedure that uses radiofrequency technology to firm up the skin and reduce small areas of fat, making it a great option if you are worried about skin sagging after losing an additional 10 kg. Since you haven't had children and are still relatively young, your skin may retain more of its elasticity, minimizing the risk of severe sagging.

If the skin laxity does become more noticeable after you’ve reached your weight loss goal, you can still consider a tummy tuck to address the loose skin, but it may not be necessary in your case. I recommend waiting until you finish your weight loss journey and seeing how your skin responds before deciding on any procedures.

Sincerely,
Dr. Katzen

Dear jwn101,
it is hard to tell for sure without an examination. Generally speaking, massive weight loss causes loose skin that usually requires tummy tuck. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

It's difficult to determine if you will have loose skin after losing another 10kg. You may want to consider treatments to help skin tightening as you are on your weight loss journey. Some to consider are non surgical treatments like Evolve Tone, Tite, and Transform. Another option is Morpheus8. See my website or a provider near you to learn more.

It is unlikely that you will have sagging skin after losing the weight. As an aside, you likely do not need a semaglutide. A healthy diet and exercise are likely sufficient to maintain your already fantastic shape.

You are young at 36 and your skin may contract. At this time, I recommend you begin wearing a compressive garment now to help increase your skin tone. It is possible that you may have hanging skin. Liposuction only removes fat and a tummy tuck removes skin. After you have achieved your desired weight loss, you can consider a tummy tuck. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.

Best Wishes,

Gary Horndeski, M.D.