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How We Treat “Ozempic Face”


When you’ve achieved significant weight loss with medications like Ozempic® or Wegovy®, it’s a moment worth celebrating. But many patients are noticing an unexpected side effect—a hollow, gaunt appearance in their face that can make them look older than before their weight loss journey began. Here’s how our expert team at Carolina Facial Plastics can help restore your facial volume and rejuvenate your appearance.

What Is “Ozempic Face”?

“Ozempic face” refers to the facial volume loss and sagging skin that can occur when patients rapidly shed weight using semaglutide-based medications like Ozempic. Since facial fat pads shrink faster than other areas of the body, the result is often a more angular, sunken, or prematurely aged appearance.

Why Does This Happen?

Multiple factors contribute to facial changes during rapid weight loss:

  • Rapid fat loss: When weight loss happens quickly, facial fat pads can shrink significantly, leaving skin without its underlying support structure
  • Collagen depletion: The skin may not have time to adjust to the reduced volume, leading to sagging and wrinkles
  • Muscle atrophy: Some patients experience a loss of facial muscle mass along with fat loss
  • Individual anatomy: Your age, skin elasticity, and genetic factors all influence how your face responds to weight loss

Whether you’ve lost weight through medication, surgery, or lifestyle changes, our team understands how important it is to feel confident in your appearance as your body transforms.

Our Treatment Approach

Here’s a breakdown of our most effective treatments for restoring facial volume and rejuvenating your appearance:

Dermal Fillers: Immediate Volume Restoration

What They Do: Dermal fillers are one of the fastest and most effective ways to restore lost facial volume. At Carolina Facial Plastics, we offer a comprehensive selection of premium hyaluronic acid fillers to provide immediate results.

Our Filler Collection:

Juvéderm® Family

  • Voluma: Specifically for cheek augmentation and mid-face volume
  • Vollure: Targets deep facial folds around the mouth and nose
  • Volbella: Subtle lip augmentation and fine lines

SkinviveTM: Creates glowing, hydrated skin on cheeks

 

 

 

 

 

 

Restylane® Collection

  • Contour: Cheek augmentation and midface contouring
  • Refyne & Defyne: Moderate lower face lines and volume loss
  • Silk: Targets vertical lip lines around the mouth
  • Lyft: Addresses midface volume loss and deep nasolabial folds
  • Kysse: Creates plumper, fuller lips

RHA Collection

  • First FDA-approved fillers for dynamic wrinkles
  • Move naturally with facial expressions
  • Last up to 15 months (longer than most HA fillers)
  • Less swelling than traditional fillers

Treatment Benefits:

  • Immediate, visible results
  • Natural-looking volume restoration
  • Results last 9-18 months, depending on product
  • Can be strategically layered for comprehensive rejuvenation
  • Same pricing for all filler brands ($400-$1,500 per syringe)

Advanced Skin Tightening Treatments

Virtue RF Microneedling Combines traditional microneedling with radiofrequency energy, using 36 gold-coated needles to create microscopic channels while delivering RF energy. This dual-action treatment stimulates natural collagen production, tightens loose skin, improves texture, and reduces fine lines. Results appear gradually over 3-6 months and last up to two years.

Sylfirm X The world’s only FDA-approved dual-wave radiofrequency microneedling system, Sylfirm X combines radiofrequency and pulsed wave technology. It effectively treats skin laxity, pigmentation, redness, and is safe for all skin types—making it ideal for post-weight loss facial rejuvenation.

CoolPeel® This innovative CO2 laser treatment gently removes the superficial layer of skin while promoting collagen production. It’s perfect for revealing smoother, tighter, more even-toned skin without the downtime of traditional CO2 laser resurfacing.

Subnovii Plasma Pen Using advanced plasma technology, the Subnovii Plasma Pen is excellent for treating delicate areas like the upper and lower eyelids, crow’s feet, lip lines, and neck. It stimulates collagen production and provides significant skin tightening in these hard-to-treat areas.

  • Traditional Microneedling with PRP

    Microneedling with Optional PRP: Our medical aesthetician, Terri Edson, has performed over 3,000 microneedling procedures using the proven Rejuvapen device:

    • Creates controlled micro-injuries to stimulate collagen
    • Improves skin texture and tone
    • Reduces fine lines and enlarged pores
    • Can be enhanced with PRP or Ariessence® (platelet-rich plasma) for accelerated healing
    • Series of 3-4 treatments provides optimal results

    Collagen Biostimulators: These advanced injectables work differently than traditional fillers by stimulating your body’s natural collagen production:

    • Sculptra®: Gradual volume restoration over 2-6 months
    • Provides results lasting up to 2 years
    • Ideal for widespread facial volume loss

    How They Help: Perfect for patients with widespread volume loss, these treatments:

    • Gradually restore facial volume
    • Improve skin quality
    • Provide long-lasting results (up to 2 years)
    • Create a natural-looking rejuvenation

    Results: Unlike instant fillers, these treatments show gradual improvement over 2-6 months as collagen production increases.

    Comprehensive Facial Surgery Options

    For patients with significant skin laxity that non-surgical treatments can’t adequately address, Dr. Kulbersh offers expert facial plastic surgery options:

    Facelift

    • Comprehensive facial rejuvenation for dramatic results
    • Addresses jowls, deep nasolabial folds, and loose neck skin
    • Restores youthful facial contours
    • Results last 10+ years

    Neck Lift

    • Specifically targets loose neck skin and muscle bands
    • Often combined with a facelift for complete rejuvenation
    • Ideal for “turkey neck” appearance after weight loss

    Blepharoplasty (Eyelid Surgery)

    • Removes excess skin and fat from upper and/or lower eyelids
    • Addresses drooping eyelids and under-eye bags
    • Can dramatically rejuvenate the eye area

    Fat Grafting

    • Transfers your own fat to restore lost facial volume
    • Provides permanent, natural-looking results
    • Can be combined with other surgical procedures

    Getting Started

    You’ve worked hard to achieve your weight loss goals—now let us help your face reflect how great you feel. Our expert team will guide you through every step of your rejuvenation journey, creating a treatment plan that addresses your specific concerns while maintaining natural-looking results.

    Take the first step toward restoring your facial volume and confidence. Schedule your consultation today and discover why Carolina Facial Plastics is Charlotte’s premier destination for facial rejuvenation.

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