INSIDE THE OPERATING ROOM With Dr. Robertson

The positives:

Healthier patients: Weight loss can improve blood pressure, diabetes control, and overall surgical candidacy.

More options: Many patients seek facial rejuvenation, skin tightening, and body contouring after weight loss.

Natural results: A majority of GLP-1 patients report preferring subtle, natural-looking aesthetic improvements rather than dramatic changes.

The downsides:

Facial volume loss (“Ozempic face”): Rapid fat loss can make the face appear older or gaunter, increasing interest in fillers or surgical rejuvenation.

Loose skin: Significant or rapid weight loss often leads to excess skin that may also  selectively decrease collagen

Surgical timing & safety: GLP-1 medications slow stomach emptying, which may affect anesthesia planning. Guidance on when to pause these medications before surgery is evolving and must be individualized.

Healing & nutrition concerns: Rapid weight loss may affect protein and vitamin levels, which are important for proper healing.

Limited resources: The expense of GLP1s often means that patients don’t have as many resources for elective cosmetic interventions

How our practice approaches GLP-1 patients:

  • We review all weight-loss medications during consultations and pre-operative planning.
  • We coordinate with your prescribing provider and anesthesiologist to determine safe medication timing.
  • We emphasize nutrition optimization and often stage procedures for safer, more predictable results.

The takeaway:

GLP-1 medications are transforming both health and aesthetics. With thoughtful planning, coordinated care, and realistic expectations, patients can achieve excellent cosmetic outcomes after weight loss. If you’re taking a GLP-1 medication and considering cosmetic procedures—even injectables—please let us know so we can tailor your care safely.

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