What GLP-1 Weight Loss Does to Your Face (And How to Fix It)
About this episode
Dr. Koehler discusses the effects of significant weight loss on facial appearance and the solutions available to address these changes.
We hear about the weight loss, the body changes, the transformation. What almost nobody mentions is what that same transformation does above the collarbone. Significant weight loss, whether from medication or lifestyle, can pull volume out of your cheeks, jawline, and neck and leave a face that looks years — sometimes a decade — older than the body it's attached to. Dr. Koehler explains why a fuller face actually reads as younger, especially in people over 50, and why "Ozempic face" isn't really about the medication at all. The culprit is the scale of the weight loss. Lose five pounds and your face probably looks fine. Lose 40 or 50 and you may not recognize what's looking back at you. When it comes to solutions, the call is never one-size-fits-all. Dr. Koehler separates two distinct problems — volume loss and skin laxity — and explains why fixing one without addressing the other rarely gives a satisfying result. He walks through when filler makes sense, how facial fat grafting actually works (including the role of platelet rich plasma), and when a facelift is the only thing that will do the job — even in someone in their 30s or early 40s. There's also the timing question. Should…
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