Ozempic face without injections?

Question

47, BMI 28, just started Climary, soon to start GLP1, autonomic nerve damage and autoimmune disorders has left me with no thyroid and an impaired swallow reflex. Since I lost my thyroid, I can't get over minor infections without a trip to the hospital for IV antibiotics. Drink plenty of water, don't smoke, don't drink and I never leave the house without SPF50. Avoiding injections and I'm looking for alternatives to resolve Ozempic Face. Is laser a good alternative?

Anna Chacon, MD, FAAD · Answer

Laser treatments are not a direct alternative to GLP-1 receptor agonists like semaglutide (Ozempic) for weight loss or addressing "Ozempic Face," which refers to the facial changes associated with significant weight loss. "Ozempic Face" is a colloquial term describing the gaunt appearance some people experience due to rapid weight loss, particularly in the face.

For individuals seeking alternatives to injections for weight loss or managing "Ozempic Face," there are a few considerations:

Oral GLP-1 Receptor Agonists: While not yet widely available for all GLP-1 agonists, oral formulations are being developed. For example, oral semaglutide (Rybelsus) is available for type 2 diabetes management but not specifically approved for weight loss without diabetes.

Laser Treatments: These can be used for skin tightening and improving facial appearance but do not address the underlying cause of weight loss or facial changes. They are more of a cosmetic solution rather than a therapeutic alternative to GLP-1 agonists.

Other Weight Loss Strategies: Non-pharmacological approaches such as diet and exercise, or other medications like orlistat (Alli, Xenical), may be considered. However, these may not offer the same level of weight loss as GLP-1 agonists.

Given your specific health conditions, including autonomic nerve damage and autoimmune disorders, it's crucial to discuss these options with a healthcare provider to determine the safest and most effective approach for your situation.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Given your health background and the concerns with Ozempic Face, exploring alternatives to injectable treatments is a wise approach. Laser treatments can indeed be a good option for addressing the signs of skin aging associated with weight loss or changes in facial volume. Laser treatments, such as CO2 laser resurfacing or non-ablative lasers, can help improve skin texture, tone, and firmness. They work by stimulating collagen production and promoting skin renewal, which can lead to a more youthful appearance. Depending on the type of laser used, treatments can target issues like fine lines, wrinkles, and overall laxity without the need for injections. In addition to laser therapy, you might also consider other non-invasive options like microneedling, radiofrequency treatments, or chemical peels. These treatments can also enhance skin texture and firmness without the use of fillers or injectables. I hope this helps and best of luck!

Ozempic face without injections?

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