The rapid loss of facial fat associated with the use of semaglutide (“Osmoface”) can result in significant sagging and loss of facial contour. According to some work published in MDPI, Dermatology Reviews and Plastic and Reconstructive Surgery, several surgical procedures have been considered to restore lost structure and volume with semaglutide: to lift Facial (rhytlyplasty), cervical lift (neck lift), and facial fat grafting.
According to Dr. Leandro H. Oshiroplastic surgeon and member of the Brazilian Society of Plastic Surgery (SBCP), these surgeries allow not only the removal of excess skin, but also the repositioning of deeper tissues, restoring volume through fat grafting when needed. “These are techniques that provide long-lasting and predictable results, especially in patients who have undergone rapid weight loss,” explains the surgeon and comments on each surgery:
Facelift (facelift)
the Face lift It is a fixed procedure to reposition deep facial tissues, remove excess skin, and restore the structural shape of the face. “In my practice, I use deep rhytidectomy techniques to treat severe sagging,” he explains.
Neck lift (cervicoplasty)
the neck raisesa job It is a surgical procedure that targets the neck and jaw area, and is often combined with a facelift in patients who experience noticeable sagging after weight loss. “Patients who suffer from a pronounced double chin or sagging jawline after rapid weight loss benefit greatly from a neck lift, as the repositioning of muscles and removal of excess skin effectively enhances facial symmetry.”
Facial fat grafting uses autologous fat (from the patient themselves), which is collected via liposuction, purified and grafted to areas such as the cheeks, temples and chin, to restore lost volume. “Fat grafting is especially beneficial for patients who have lost facial fat and want a long-lasting, natural filler using their own tissue,” says the plastic surgeon.
Signal and risk considerations
According to Dr. Leandro Oshiro, the choice between these procedures must take into account the degree of sagging, the speed and amount of fat loss, and the patient’s expectations. “Not all cases of ‘osseous face’ require immediate surgery; however, when the loss of support is significant, a surgical approach may be the most effective and long-term solution.” “Because these surgeries are invasive, it is essential that the patient undergoes a full evaluation, including anesthesia risks, recoverability and weight maintenance, to optimize outcomes,” he continues.
The surgeon concludes by saying that the above-mentioned surgical treatments are powerful options for the management of “Azematous face”, as they provide the restoration of lost facial contour, firmness and volume. Each technique has specific indications and can be combined according to individual needs. The decision should be made with an experienced plastic surgeon, based on careful clinical evaluation.