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Karl William Schwarz, MD

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What Is “Ozempic® Butt” and How Can I Get My Booty Back?

Posted April 03, 2024 in Ozempic® Butt

Fit woman checks the size of her booty

For many of the millions of people losing weight using Ozempic®, they’re feeling the best they ever have. However, a surprising side effect that some people have discovered is that their booty seems to be shrinking and sagging with the sudden weight loss. This blog explores the reasons for Ozempic® butt and how you can keep your behind from melting away.

5 Min Read:

Many of the millions of people losing weight using Ozempic® are feeling the best they ever have. The pounds are melting away, but for some, their buns are also melting away. That’s not a side effect of the medication itself but rather a side effect of rapidly losing weight. In this blog, we discuss how Ozempic® butt happens, as well as what you can do to restore your curves.

What Is Ozempic® Butt?

By now, most people have heard about Ozempic® and other weight loss injections whose active ingredient is semaglutide. Semaglutide regulates blood sugar, curbs appetite, and delays gastric emptying. What this means for weight loss is that your blood sugar levels don’t fluctuate wildly because your pancreas is producing more insulin. It also means that people are hungry less often because not only are hunger signals suppressed, but the stomach also stays fuller, longer. The result is usually rapid weight loss, which has been a game-changer for millions of people struggling with obesity. 

While there are some minor side effects (as with any medication) a surprising result many did not expect is the shrinking of their butt. This may sound silly, because when you lose weight, of course you’re going to lose it in various places on your body, including your behind. However, it’s the loss of volume combined with sagging skin that has people looking for solutions. A skinny bottom, aside from not looking especially attractive, can actually be somewhat painful to sit on for hours, which is exactly what most people have to do who work in offices or in front of computer screens. 

What Causes Ozempic® Butt?

Losing Weight Quickly

When you gain weight, it is typically a gradual process that allows your skin to stretch slowly to accommodate the extra volume. Even with rapid weight gain and loss from pregnancy, the collagen and elastin in your skin allows it to snap back into place with a minimum of laxity. 

Losing weight with Ozempic® generally starts off with a bang, as your body drops pounds in quick response to a drastic reduction in calorie intake. As a result, your skin can’t keep up with the sudden decrease in fat volume, and you may notice some sagging, especially in your butt. 

Skin Condition

As you age, your skin produces less collagen and elastin than it did when you were younger, and the existing collagen and elastin begin to break down. This in turn makes it more difficult for your skin to recover from things like sun damage, fine lines and wrinkles, and rapid weight loss. 

The reason your skin sags over time is because collagen and elastin are the proteins that provide structure for your skin. Collagen gives your skin strength and volume, and elastin gives your skin the ability to stretch and retract. When these proteins break down and decrease production, it makes it much more difficult for your skin to retain its youthful shape and strength. Combined with fast weight loss, these factors create a perfect storm for the emergence of Ozempic® butt.  

How Long You’ve Been Overweight 

For people who have spent decades struggling with obesity, Ozempic® has been life-changing. Not only has it helped restore their confidence in their appearance, but it has bettered their health and allowed them to participate in activities they couldn’t before. 

If you’ve been overweight for a long time, your skin has adapted to your size, and stretched appropriately to accommodate it. When you suddenly lose a significant amount of weight, your skin doesn’t have time to adjust to the reduction in volume, and starts to sag. The good news is that, over time, you may notice less sagging as your skin adjusts to your new shape. But in some cases, your skin may not adjust well and you’re left with Ozempic® butt.

How to Combat Ozempic® Butt

There are several ways to combat Ozempic® butt. First, allow your body time to adjust to your slimmer figure. While we talk about skin “bouncing back” it’s not an overnight process. It may take several months to see a difference. Once you’ve reached your goal weight, give your skin time to retract as much as it can before taking further steps to deal with any remaining sag. 

The second essential thing a person can do to combat the condition is exercise. Gaining lean muscle mass by doing weight-bearing exercises can give you the rounder, more muscular booty you want, while also helping to further enhance your weight loss by toning and tightening your muscles. 

Third, don’t be shy about getting assistance. Explore your options for a Brazilian Butt Lift (BBL). A Brazilian Butt Lift is designed to add volume to your butt using fat harvested from other areas of your body. It not only boosts your booty, but because it also requires liposuction, you will reap the benefits of shaping and contouring other areas of your body. Keep in mind that a Brazilian Butt Lift should only be performed once you’ve reached your weight loss goal. Continuing to lose weight after your BBL will affect your results.

Learn More About Ozempic® and Brazilian Butt Lift Surgery in Miami

If you’re ready to lose weight but are concerned about its effect on your silhouette, it’s time to visit Careaga Plastic Surgery. Our highly trained and experienced team of surgeons will create a complete treatment plan to meet your needs, from weight loss to body contouring. To schedule a consultation to see how we can help you achieve your best body, call us today at 

(305) 615-4987 or complete the online contact form


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