Semaglutide or lipo first?

If you have stubborn fat, starting with liposuction can be beneficial, especially if you know the specific areas you want to target for fat reduction. This approach is effective because weight loss from methods like semaglutide can be unpredictable in terms of which areas will lose fat first. Some people choose to use semaglutide initially to achieve overall weight reduction before addressing remaining fat with liposuction. However, our recommended strategy is to perform liposuction first to remove targeted fat, followed by the use of semaglutide to help maintain the weight loss and enhance overall results.

Hello and thank you for your question!
If you're 25 lbs overweight and insulin resistant, starting semaglutide **before** liposuction is typically the better option. It can help you overcome the weight loss plateau, improve your metabolic health, and reduce surgical risks. By getting closer to your goal weight first, your surgeon can better target stubborn fat areas and achieve more precise, lasting contouring results. Losing weight after lipo is possible, but it may alter your results or affect skin tightness. Starting semaglutide now gives you a stronger foundation for both surgery and long-term maintenance.
Best of luck in your journey!
Genie Alexander, RN BSN for Anna Petropoulos, MD FRCS
Center for Classic Beauty
Danvers & Boston, MA

While you can do either first you may want to lose the weight first. The liposuction can then address stubborn fat pockets that remain with weight loss. Options such as J-Plasma can be added to liposuction if loose skin is a concern as well.