What Is Ozempic Butt? Causes, Prevention & Treatment Options

Featuring Frank Ciminello, M.D., FACS

With the rise of medications like Ozempic® and Wegovy® for weight loss, many patients are celebrating impressive transformations in their health and confidence. But along with the benefits, some are noticing unexpected changes in their body shape, particularly a flattening or sagging of the buttocks. Social media has dubbed this “Ozempic butt,” a non-medical term referring to volume loss, drooping, or skin laxity in the gluteal area following rapid weight loss.

But what causes “Ozempic butt,” and can it be prevented? We’ll explore this result further, offering additional insights and a trusted surgical option to help you feel like yourself again.

What Causes “Ozempic Butt”?

“Ozempic butt” isn’t caused by the medication itself, but rather by the speed and nature of the weight loss it facilitates. As the body sheds fat quickly, certain areas—like the buttocks—may lose volume before the skin has time to adapt.

Common contributors to this include:

• Rapid fat loss in the gluteal region, which can lead to a deflated or flat appearance
• Skin laxity due to reduced collagen and the skin’s inability to retract quickly
• Muscle atrophy, especially in patients who don’t incorporate resistance training
• Age-related skin changes or prior cycles of weight gain and loss that weaken skin elasticity

Patients may also notice:

• Loss of projection or shape in the buttocks
• Wrinkled or crepey skin
• Disproportion in body silhouette or clothing fit
• Similar deflation in areas like the breasts, face, or upper arms

Can You Prevent Ozempic Butt During Weight Loss?

While you may not be able to control how your body responds to weight loss entirely, there are proactive ways to support your skin, muscles, and shape throughout your journey:

• Incorporate resistance training, especially glute-focused workouts, to preserve muscle mass
• Prioritize protein intake to help maintain lean tissue
• Stay hydrated and talk to your provider about collagen support or skin-boosting supplements
• Aim for gradual weight loss, when possible, to give skin time to adapt
• Plan ahead: A consultation with a board-certified plastic surgeon early in your journey can help you explore preventive strategies or future contouring options

What a Lower Body Lift Treatment Can Do

For patients struggling with sagging skin and deflated contours in the buttocks after rapid weight loss, a lower body lift can offer powerful, restorative results. While injectable and fat-based treatments focus on adding volume, a lower body lift addresses the loose, stretched skin that often remains after significant fat loss, especially around the lower back, waist, and buttocks.

This procedure goes beyond just lifting the buttocks. By removing a belt-like section of excess skin from around the midsection, surgeons are able to tighten and reshape the entire lower torso, including the hips and outer thighs. If you’re noticing your “Ozempic butt” includes skin laxity, wrinkling, or sagging across multiple areas, and not just volume loss, a lower body lift can help restore a firmer, smoother silhouette that better reflects their weight-loss progress.

When’s the Right Time to Get Treatment?

We recommend patients wait until certain conditions are met before proceeding with surgery. Specifically, it is ideal for weight to have stabilized, which typically occurs 3 to 6 months after reaching the goal weight. 

However, it’s worth noting that you don’t have to wait to schedule a consultation. Meeting with a plastic surgeon early in your journey can help you plan ahead, explore options, and prevent more significant volume loss or skin laxity in the future.

Get Expert Help for Any Sagging After Weight Loss Today

The Plastic Surgery Center is known across the region for our deep expertise in post-weight-loss body contouring, including our lower-body lift treatments. 

Here’s what sets us apart:

• Board-certified surgeons with years of experience in advanced aesthetic techniques
• A full range of surgical and non-surgical treatment options
• Focus on natural-looking results—never overdone or exaggerated
• Accredited surgical facility and trusted patient care team
• Recognized leaders in gluteal aesthetics and body sculpting

We believe your results should reflect your hard work—and help you feel strong, confident, and proportionate in your body again. If you’ve lost weight on Ozempic® and want to restore your shape with confidence, schedule a consultation with The Plastic Surgery Center today.