Dr. Oren Tepper, a plastic surgeon in New York, said that it’s common for weight loss to deflate key areas of the face, leading to a more aged appearance. “When it comes to facial aging, fat is typically more friend than foe,” he said. “Weight loss may turn back your biological age, but it tends to turn your facial clock forward.”
Indeed, as Catherine Deneuve is purported to have said: “At a certain age, you have to choose between your face and your ass.” But these days, in certain moneyed circles, that adage no longer seems to apply, with the now common combination of weight-loss drugs and volume-restoring 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, has observed the same trend in his office. “We are seeing more and more patients on the medications coming in,” he said. “Generally, it’s people in their 40s and 50s who are losing significant amounts of weight and are concerned about facial aging and sagging that occurs as a result.”
While noninvasive procedures like Fraxel can improve skin texture and wrinkles, Dr. Frank said that fillers are the only noninvasive way to restore volume (cost: $5,000 to $10,000). To bring back a youthful fullness to Ms. Berger’s face, Dr. Frank injected Radiesse and hyaluronic acid-based fillers in strategic places all over her face — around the temples, under the eyes, in the buccal hollows and around the jawline, the mouth and lips.
To restore volume, Dr. Bhanusali uses Radiesse in combination with Sculptra, an injectable that stimulates collagen production and can last for up to 24 months. (Dr. Bhanusali has been a consultant to Galderma, the maker of Sculptra.) “The idea is to balance the face to offset the hollowing and downward projections at the cheeks, jowls and other areas,” he said.