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Home » Blog » Sagging Facial Skin After Weight Loss: Causes and Solutions

Sagging Facial Skin After Weight Loss: Causes and Solutions

06/10/2025 by Homer Hojjat, MD

Rapid weight loss can lead to sagging facial skin due to reduced fat and decreased skin elasticity.

Losing weight—especially a significant amount—can be a major accomplishment. Whether your journey was powered by a better diet, consistent exercise, or medications like Ozempic, the benefits often include better health and boosted self-confidence. But for many people, weight loss comes with an unexpected downside: sagging face skin after weight loss.

If your face no longer looks as firm or youthful as it once did, you’re not alone. Sagging skin on the face after weight loss is a common concern, especially after rapid weight loss or when the skin’s elasticity can’t keep up with the changes in body fat. In fact, there’s even a name for the hollow, deflated look that can follow dramatic weight loss with medications like Ozempic—people are calling it “Ozempic face.” 

The good news is that there are effective, personalized solutions available—from surgical options like facelifts to non-invasive treatments like dermal fillers—that can help restore a more lifted, refreshed appearance. Let’s break down why this happens, how to recognize the signs, and what you can do about sagging facial skin after weight loss.

5 Fast Facts About Facial Sagging After Weight Loss

  1. Sagging facial skin after weight loss happens when your skin loses its ability to snap back after losing volume.
  2. Both rapid and gradual weight loss can lead to sagging, especially in the face and neck.
  3. Factors like age, genetics, and medications like Ozempic can worsen the appearance of loose skin.
  4. Surgical and non-surgical treatments can restore firmness and definition to the face and jawline.
  5. Dr. Hojjat offers expert care and a full range of solutions to tighten and refresh your appearance.

Why Does Facial Skin Sag After Weight Loss?

When you lose a significant amount of weight, your skin doesn’t always shrink back to fit your new shape. This happens because of a loss of facial fat and a decrease in the skin’s natural elasticity.

As we age, our skin produces less collagen and elastin—two key proteins that give skin its firmness and ability to bounce back. When you combine age-related changes with major weight loss, especially in the face and neck, you may be left with noticeable loose skin. The effect is sometimes called “Ozempic face,” a term used to describe facial hollowing and sagging that can occur in people taking semaglutide-based medications like Ozempic for weight loss.

What’s happening beneath the surface? The layer of fat that once gave your face structure is now reduced, but the skin that stretched to accommodate it often remains. Without that internal support, facial skin can begin to droop, especially around the cheeks, jawline, and neck.

Understanding Ozempic Face: Is This Only From Rapid Weight Loss?

Not necessarily. While rapid weight loss can create more sudden and visible changes in the face, even gradual weight loss can lead to sagging—especially if the skin has been stretched over a long period of time or if natural collagen production has slowed.

Several factors influence how your face reacts to weight loss:

  • Age – Older skin tends to have less collagen and elastin, making it more prone to sagging.
  • Genetics – Your skin type and how your body stores fat play a role.
  • Lifestyle – Smoking, sun exposure, and poor hydration can all contribute to reduced skin elasticity.
  • Medications – GLP-1 agonists like Ozempic may accelerate facial volume loss.
  • Amount of weight lost – The more fat your face loses, the more noticeable the change may be.

The appearance of sagging is often more dramatic in the lower face, especially along the jawline (jowls), under the chin, and around the neck area.

Signs of Facial Sagging and Loose Skin After Weight Loss

Everyone’s face reacts differently to weight loss, but common signs of facial sagging include:

Woman examining sagging facial skin in mirror after weight loss, showing early signs like jowls and hollow cheeks.
Weight loss can cause jowls, hollow cheeks, and sagging under the eyes due to lost facial volume.
  • Flattened cheeks and hollow temples
  • Loose skin under the chin and jaw (also known as “jowls”)
  • Folds or creases around the mouth and nose
  • Sagging skin around the neck or under the eyes
  • Overall loss of facial definition

These changes may make you look tired or older than you feel, even after reaching your weight loss goals.

Early treatment leads to better results

Schedule a personalized consultation with Dr. Hojjat.

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Rejuvenating Your Face After Weight Loss

The good news is that there are both surgical and non-surgical treatments that can help restore facial structure, tighten loose skin, and refresh your overall appearance. At SoCal Aesthetic Surgery, Dr. Homer Hojjat provides customized solutions that match your needs, your goals, and your skin.

Surgical Solutions

For patients with more advanced skin laxity or deeper sagging, surgical procedures often provide the most dramatic and long-lasting results.

  • Facelift and Deep Plane Facelift – These surgeries lift and tighten sagging skin in the mid to lower face, restoring youthful contours and improving the jawline. The deep plane technique goes beneath the muscle layer for more natural-looking results.
  • Mini Facelift – A great option for those with early signs of facial sagging after weight loss. It focuses on lifting the cheeks and jawline with smaller incisions and a quicker recovery time.
  • Neck Lift and Mini Neck Lift – These procedures remove excess skin and tighten muscles in the neck area to improve definition and reduce the appearance of a “turkey neck” or double chin.
  • Blepharoplasty (Eyelid Surgery) – Sagging eyelids or under-eye bags can be corrected with this surgery which removes or repositions fat and skin around the eyes.
  • Brow Lift – Helps elevate the brows and smooth out wrinkles in the forehead area, reducing a tired or angry appearance.

Non-Surgical Options

If you’re not ready for surgery—or your skin changes are more subtle—non-surgical treatments can still offer excellent improvements.

  • CO2 Laser Skin Resurfacing – This treatment improves skin texture, tone, and firmness by removing damaged outer layers and stimulating collagen production.
  • Dermal Fillers – Injectable hyaluronic acid-based fillers can restore lost volume in the cheeks, under the eyes, and around the mouth. They help lift sagging skin and reduce deep wrinkles.

Procedure Gallery

Facelift Before and After Photos

Facelift & Necklift Before and After Photos in CA, Irvine, Patient 2792
Facelift & Necklift Before and After Photos in CA, Irvine, Patient 2792
Facelift & Necklift Before and After Photos in CA, Irvine, Patient 2792
Facelift & Necklift Before and After Photos in CA, Irvine, Patient 3711
Facelift & Necklift Before and After Photos in CA, Irvine, Patient 3711
Facelift & Necklift Before and After Photos in CA, Irvine, Patient 3711

* All patients are unique and individual results may vary.

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Why Choose Dr. Homer Hojjat?

Dr. Homer Hojjat is a highly trained facial plastic surgeon with extensive experience in both surgical and non-surgical aesthetic procedures. His goal is to help patients look naturally refreshed—not overdone. At SoCal Aesthetic Surgery, you’ll receive expert, compassionate care tailored to your unique needs.

With a deep understanding of facial anatomy and the artistic touch required for great results, Dr. Hojjat provides treatments that help patients look and feel like the best version of themselves.

How soon after weight loss should I consider facial rejuvenation?

It’s best to wait until your weight has stabilized before pursuing most facial rejuvenation treatments. For surgical procedures like facelifts or neck lifts, that typically means maintaining a stable weight for at least 6 months. This ensures your results won’t be impacted by further changes in facial volume.

However, non-surgical treatments like fillers or laser resurfacing can sometimes be done earlier, especially to address immediate concerns with skin texture or early sagging.

Woman resting on couch looking calm, representing ideal timing for facial rejuvenation after weight stabilization.
Facial rejuvenation is most effective after maintaining a stable weight for at least six months.

Are You Ready to Restore Your Confidence?

Facial sagging after weight loss can feel frustrating, but you don’t have to live with the after-effects of your transformation. Whether you’re dealing with “Ozempic face,” jowls, or general skin laxity, there are solutions designed to help you feel confident again.

As a renowned plastic surgeon, Dr. Hojjat offers a full spectrum of plastic surgery treatments to restore a youthful, lifted appearance. Book your consultation today and take the next step toward feeling great in your skin. Call SoCal Aesthetic Surgery in Irvine, California, or schedule a free consultation online today.

Frequently Asked Questions about Sagging Facial Skin After Weight Loss

How do I know if I need surgery or if non-surgical treatments are enough?

If you have mild to moderate sagging or volume loss, non-surgical options like wrinkle injections and laser treatments may give you great results. But if the skin is significantly loose or there’s a lot of sagging, plastic surgery may offer a more effective and longer-lasting solution. Dr. Hojjat can assess your skin and recommend the best treatment for your goals.

How long do the results last for surgical vs. non-surgical options?

Surgical results like those from a facelift or neck lift can last 10 years or longer. Non-surgical treatments usually require maintenance—filler injections may last 6 to 12 months, and laser treatments often need annual sessions to maintain results. The best approach depends on your budget, available downtime, and desired outcome.

Can men also get treatment for sagging facial skin after weight loss?

Absolutely. Many men experience sagging skin after significant weight loss and seek facial rejuvenation to restore definition. Dr. Hojjat regularly treats male patients and tailors his techniques to preserve masculine features while improving firmness and balance in the face and neck.

What are the best skin tightening treatments for facial sagging after weight loss?

For patients who aren’t ready for invasive surgery, skin tightening treatments may be a good option. These non-surgical procedures stimulate collagen production deep within the skin, helping to firm and lift targeted treatment areas such as the jawline, cheeks, and neck. While results are typically more subtle than those achieved with surgical skin procedures, they can still offer visible improvement—especially for early signs of sagging.

Can lifestyle choices like nutrition or skincare help with facial sagging?

Yes, while they can’t fully reverse sagging, healthy lifestyle habits can support your skin’s structure and slow further loss of elasticity. A balanced nutrition plan, staying hydrated, and avoiding rapid weight fluctuations—especially after obesity—can all benefit skin health. Topical retinoids may improve surface texture, and working with a dermatology specialist or clinic can help you choose the right type of treatment to complement more advanced options if needed.

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