IMPACTS OF SEMAGLUTIDE AND TIRZEPATIDE INDUCED WEIGHT LOSS ON FACIAL AESTHETICS: AN INTEGRATIVE LITERATURE REVIEW
DOI:
https://doi.org/10.66104/d1j34g18Keywords:
obesity; weightloss; facial aesthetics.Abstract
The pursuit of improved metabolism and body aesthetics has intensified in recent years. Considering that obesity constitutes a global public health problem, there has been a significant increase in the use of weight-loss medications. This review aims to analyze the scientific evidence regarding the effects of weight loss on facial aesthetics associated with the use of tirrizepatide and semaglutide. For the study, the PubMed/MEDLINE, Scopus, and Web of Science databases were consulted, and the selected articles were analyzed descriptively and comparatively. The included studies demonstrated that accelerated weight loss can cause negative repercussions on facial aesthetics, such as loss of mechanical tissue support and excess skin, favoring the formation of deep wrinkles and alterations in facial proportions, characteristic of aging. It is concluded that GLP-1 receptor agonists and dual GLP-1/GIP agonists are highly effective in weight reduction; However, they can negatively impact patients' self-esteem, both physically and emotionally, due to undesirable changes in facial aesthetics, highlighting the need for more systematic studies on the subject.
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References
BAGGETT, A. et al. Cosmetic considerations of semaglutide. Cosmetics, Basel, v. 12, n. 5, p. 221, 2025.
BURKE, O. M.; SA, B.; CESPEDES, D.; TOSTI, A. Dermatologic implications of glucagon-like peptide-1 receptor agonist medications. Skin Appendage Disorders, [S.l.], v. 11, n. 5, p. 416–423, 14 fev. 2025.
CARBONI, A.; MARTINI, O.; MARROQUIN, N. A.; WALLER, J. Natural weight loss or “Ozempic face”: demystifying a social media phenomenon. Journal of Drugs in Dermatology, New York, v. 23, n. 1, p. 1367–1368, 2024.
CATALAMO, L.; DE PONTE, F. S.; DE RINALDIS, D. “Ozempic face”: an emerging drug-related aesthetic concern and its treatment with endotissutal bipolar radiofrequency (RF)—our experience. Journal of Clinical Medicine, Basel, v. 14, n. 15, p. 5269, 2025.
DANESHGARAN, G.; SHAULY, O.; GOULD, D. J. “Ozempic face” in plastic surgery: a systematic review of the literature on GLP-1 receptor agonist mediated weight loss and analysis of public perceptions. Aesthetic Surgery Journal Open Forum, Oxford, v. 7, p. ojaf056, 2025.
EL-AMAWY, H. S. et al. Tirzepatide in dermatology: cutaneous adverse events, emerging therapeutic roles, and cosmetic implications – a comprehensive review. Anais Brasileiros de Dermatologia, Rio de Janeiro, 2026.
HAYKAL, D.; HERSANT, B.; CARTIER, H.; MENINGAUD, J. The role of GLP-1 agonists in esthetic medicine: exploring the impact of semaglutide on body contouring and skin health. Journal of Cosmetic Dermatology, Hoboken, 2024.
LAGO, R. M. et al. Tirzepatide versus GLP-1 receptor agonists in obesity management: metabolic outcomes and clinical implications. Obesity Reviews, Oxford, v. 26, n. 2, e13542, 2025.
RIDHA, Z.; FABI, S. G.; ZUBAIR, R.; DAYAN, S. H. Decoding the implications of glucagon-like peptide-1 receptor agonists on facial aging and accelerated skin aging. Aesthetic Surgery Journal, Oxford, v. 44, n. 11, p. NP809–NP818, nov. 2024.
RUBIO-HERRERA, M. A.; MERA-CARREIRO, S. Weight control treatment in obesity. Medicina Clínica (Barcelona), Barcelona, v. 165, n. 5, p. 107152, nov. 2025.
SEIDEL, M.. Rapid weight loss and facial aging: clinical implications of GLP-1 receptor agonists. Dermatologic Therapy, Hoboken, v. 38, n. 1, e15792, 2025.
SMITS, M. M.; VAN RAALTE, D. H. Safety of semaglutide. Frontiers in Endocrinology, Lausanne, v. 12, p. 645563, 7 jul. 2021. Erratum em: Frontiers in Endocrinology, Lausanne, v. 12, p. 786732, 10 nov. 2021.
Systematic Review on GLP-1RA-Induced Weight Loss and Body Contouring Surgeries. Retrospective association study correlating uso de GLP-1 com aumento de procedimentos estéticos (dados correlacionais e tendências indicadas em literatura científica).
ULLAH, M. I.; TAMANNA, S. Obesidade: impacto clínico, fisiopatologia, complicações e inovações modernas em estratégias terapêuticas. Medicines (Basel), Basel, v. 12, n. 3, p. 19, 28 jul. 2025.
VAMBE, S. D. Semaglutide (Ozempic®): a comprehensive review of its pharmacological properties and clinical applications. South African Pharmaceutical Journal, Johannesburg, v. 91, p. 32–38, 2024.
WORLD HEALTH ORGANIZATION. Obesity and overweight. Geneva: World Health Organization, 2023. Disponível em: https://www.who.int. Acesso em: 20 jan. 2025.
YANG, X. D.; YANG, Y. Y. Clinical pharmacokinetics of semaglutide: a systematic review. Drug Design, Development and Therapy, Auckland, v. 18, p. 2555–2570, 25 jun. 2024.
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Copyright (c) 2026 Mauricio de Sousa Carvalho Reis, Lilian Abreu Sousa Lopes, Ludmila Tolstenko Nogueira, Aniele Carvalho Lacerda , Luciana Tolstenko Nogueira, Antônio Marcolino Ferreira Segundo, Maria Eduarda Mousinho Silva Rodrigues , Kerolayny Lessa de Carvalho Lopes

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