These weight loss drugs can do a number on your face

These weight loss drugs can do a number on your face

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Dr. Oren Tepper, a plastic surgeon in New York, said it’s common for weight loss to puff out key areas of the face, resulting in an older appearance. “When it comes to facial aging, fat is usually more of a friend than an enemy,” he said. “Weight loss can reverse your biological age, but it tends to turn the clock on your face forward.”

Indeed, as Catherine Deneuve is said to have said, “At a certain age you have to choose between your face and your ass.” But these days, in certain wealthy circles, that adage no longer seems to apply, with the now commonplace combination of drugs slimming and bulking filler.

“I see it every day in my office,” said Dr. Frank, who said he coined the term “Ozempic face” to describe the condition. “A 50-year-old patient will come in and suddenly she’s super skinny and needs filler, which she never needed before. I look at her and say, “How long have you been on Ozempic?” And I’m right 100 percent of the time. It’s the drug of choice these days for the 1 percent.

Dr. Dhaval Bhanusali, a dermatologist in New York whose famous patients include Martha Stewart, sees the same trend in his office. “We’re seeing more and more patients on the medication coming in,” he said. “In general, people in their 40s and 50s lose significant amounts of weight and are concerned about the aging and sagging of the face that occurs as a result.”

While non-invasive procedures like Fraxel can improve skin texture and wrinkles, Dr. Frank said fillers are the only non-invasive way to restore volume (cost: $5,000 to $10,000). To restore youthful fullness to Ms. Berger’s face, Dr. Frank injected Radiesse and hyaluronic acid-based fillers in strategic locations throughout her face—around the temples, under the eyes, in buccal cavities and around the jaw line, mouth and lips.

To restore volume, Dr. Bhanusali uses Radiesse in combination with Sculptra, an injectable product that stimulates collagen production and can last up to 24 months. (Dr. Bhanusali was a consultant for Galderma, the maker of Sculptra.) “The idea is to balance the face to compensate for hollows and bulges down the cheeks, jawline and other areas,” he said.

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