If you’ve recently started GLP-1 weight loss injections such as Ozempic and noticed changes in your face, like sagging skin, gauntness or a hollowed look, you’re not alone. The phenomenon, now commonly referred to as Ozempic face, is a real and visible side effect of rapid weight loss. At Secret Aesthetics, located in Harvey Nichols, The Mailbox, Birmingham, we’re seeing more and more patients seeking advanced, natural-looking solutions to restore balance and harmony to their features, without overfilling or drastic changes.
What Is Ozempic Face?
Why Rapid Weight Loss Can Lead to Facial Volume Loss
Rapid weight loss, particularly from medications like Ozempic (semaglutide), can result in fat loss not just around the waistline, but also in the face. As facial fat pads diminish, the skin often struggles to ‘snap back’, leading to a deflated appearance, exaggerated nasolabial folds, and more pronounced jowls or under-eye hollows.
This effect can be particularly distressing, as the transformation can appear more ageing than rejuvenating. And while the body might be shrinking, the face can start to look prematurely aged, tired or unhealthy.
The Science Behind It – How Fat Loss Affects Skin Structure
Facial fullness plays a key role in youthful appearance. The subcutaneous fat compartments that support our cheeks, temples and jawline act as a natural scaffold. When these shrink too quickly, the skin loses tension and elasticity, particularly if collagen levels are already in decline. This is why Ozempic face disproportionately affects those over 35, when natural collagen production is already slowing.
How Botox Can Help Rebalance Your Features
Botox vs Fillers – Which One Is Right for You?
Although dermal fillers are often used to restore lost volume, Botox has a powerful role in enhancing facial balance, without adding bulk. Botox (botulinum toxin) relaxes dynamic lines caused by repeated muscle movement, particularly around the eyes, brows and forehead. In the case of Ozempic face, Botox can also be used strategically to lift and refine facial contours.
Rather than simply replacing volume, we take a more nuanced approach at Secret Aesthetics, combining Botox with minimal, targeted filler to rejuvenate and rebalance without a ‘puffy’ or overfilled result.
Strategic Use of Neuromodulators to Lift and Refine
Botox can help soften frown lines, elevate drooping brows, and reduce downward pull around the mouth. When weight loss causes downward skin migration, small amounts of Botox can restore a sense of upward lift. Think of it as a subtle “reset”, not a freeze. The result? A smoother, more rested appearance that looks like you, only fresher.
Sculptra: Stimulate Collagen for Long-Term Results
Sculptra is a biostimulatory injectable that encourages your skin to produce its own collagen, a critical protein responsible for plumpness, firmness and elasticity. Instead of just “filling” hollowness caused by Ozempic-induced weight loss, Sculptra rebuilds structure from within over time.
It’s ideal for patients who want a gradual, natural-looking improvement in facial volume without looking like they’ve had filler. Especially in the cheeks, temples, and jawline, areas that commonly deflate post-weight loss, Sculptra acts like a scaffold, supporting the skin as it regenerates its youthful bounce.
Many of our patients opt for Sculptra as part of a layered facial rejuvenation plan, alongside Botox and energy-based skin tightening devices.
Skin Tightening Treatments That Work
Endolift, RF Microneedling, and More
For those with moderate skin laxity, non-surgical skin tightening treatments can dramatically improve skin quality and tone, without injectables. At Secret Aesthetics, we offer advanced options such as:
- Secret RF Microneedling – Stimulates collagen and elastin through tiny, controlled injuries beneath the surface.
- Endolift® – A laser-based skin tightening treatment performed beneath the skin’s surface, triggering collagen contraction and remodelling in real time.
These modalities are ideal for treating the structural skin changes associated with Ozempic face and offer long-lasting improvements with minimal downtime.
How We Choose the Right Device for You
No two faces are the same, especially when it comes to post-weight loss changes. That’s why we always begin with a comprehensive consultation. Based on your skin quality, degree of laxity, and volume loss, we’ll recommend a bespoke combination of injectables and energy-based devices. This layered, medical-led approach means optimal results with a natural aesthetic.
Real Patient Results – Natural, Not Overfilled
Why Less Is More When Rebuilding Facial Harmony
The biggest mistake in treating Ozempic face? Overcorrecting. Overfilling sunken cheeks or temples with large volumes of dermal filler can create a distorted or ‘pillow face’ effect. At Secret Aesthetics, our ethos is all about natural-looking rejuvenation, and our results reflect that.
By combining Botox, Sculptra and precision-led skin tightening like Endolift, we help restore what’s been lost, not add what was never there.
Dr Zoya’s Expert Approach: Individualised Care for Every Face
Consultation-Led Plans to Tackle Ozempic Face
Under the clinical direction of Dr Zoya, Secret Aesthetics specialises in restoring facial balance with finesse. Dr Zoya’s training, artistic eye and advanced technique means every treatment is delivered with exceptional precision.
We believe in treating the face holistically, not chasing individual lines or shadows. Whether you need Botox to soften expression lines, Sculptra to gradually rebuild volume, or Endolift to firm and lift the lower face, we’ll build a plan entirely around you.
FAQs About Ozempic Face, Botox, Sculptra & Skin Tightening
What are the first signs of Ozempic face?
Hollow cheeks, sagging around the jawline, sunken eyes and general facial deflation are the earliest signs.
Can Botox and Sculptra really reverse Ozempic face?
Together, yes. Botox improves dynamic lines and lift, while Sculptra rebuilds lost structure and stimulates collagen over time.
What’s the benefit of Endolift for Ozempic face?
Endolift offers targeted tightening beneath the skin without surgery. It lifts, contracts and remodifies collagen for visibly firmer skin in a single treatment.
Is there any downtime with RF microneedling or Endolift?
Endolift may have mild swelling or tenderness for 24-72 hours. RF microneedling has minimal downtime, often just mild redness for a day or two.
How much does it cost to treat Ozempic face at Secret Aesthetics?
Treatment plans are bespoke. You’ll receive a personalised quote during your initial consultation.
Ready to restore the confidence in your reflection?
Whether you’re mid-journey with Ozempic or noticing signs of facial volume loss, we’ll guide you with expert, medically-led care. Book your consultation at Secret Aesthetics, and let’s create a treatment plan that’s tailored to you, natural, refined, and entirely in harmony with your features.
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