It’s Not Just ‘Ozempic Makeovers’: Slimming Procedures Surge As Thin Becomes Trendy Again

Thin is back in, and while the “Ozempic makeover” is becoming more popular, even people who are not using GLP-1 weight-loss medications are seeking different cosmetic procedures to stay on trend.

The “Ozempic makeover” came about as more patients experienced rapid weight loss on medications like Ozempic, leading to hollowed faces, loose skin, and a deflated shape known as “Ozempic face” or “Ozempic body.” Procedures may include laser or radiofrequency skin tightening, breast lifts or reductions, and facial volume restorations from filler to fat grafting to full facelifts.

But the trend is also leading to reduced requests for the previously fashionable Brazilian Butt Lift (BBL), major breast augmentation, and other procedures designed to enhance curves, alongside increased requests for more slimming procedures from liposuction to “ballerina” breast implants to smaller “supermodel BBLs.”

“Ozempic has contributed to a dramatic rise in plastic surgery procedures across the board. With each passing month, I see an increasing number of consultations from patients who are using these medications. Yet there remains a significant group of people who desire a slimmer physique but prefer not to take them. They see their friends losing weight, or they follow influencers and celebrities who appear effortlessly lean, and they want to achieve a similar look,” says Dr. John Diaz, a board-certified plastic surgeon based in Beverly Hills.

“In my practice, this has translated into a clear shift in aesthetic goals. Im performing more targeted body-contouring procedures than ever before — particularly liposuction of the arms, abdomen, waist, and thighs — to create a more streamlined, sculpted silhouette,” Diaz says.

“Ive also noticed a rise in requests for smaller breast augmentations, often referred to as the ballerina implant, while procedures that add substantial volume, such as large-volume fat grafting to the buttocks (BBL), have become far less common,” he says.

“Even when a patient does ask for a BBL, they are now asking for a much more subtle result. I call these petite BBLs or supermodel BBLs,” Diaz says. “Taken together, these trends reveal a broader cultural shift: most patients today are seeking a figure that is slimmer, more refined, and more athletic.”

According to Knight Dermatology founder Dr. Matthew Knight, a double board-certified dermatologist and Mohs surgeon, demand for Ozempic makeovers is increasing as more Americans hit their weight-loss plateaus in 2025, and winter provides the perfect opportunity for recovery before warm weather returns.

“A lot of Americans have lost a lot of weight over the past few years, and its driving new trends in cosmetic surgery,” Knight says.

“Our faces are normally supported by pads of fat.  If these shrink, especially rapidly, it can hollow the face, which is really noticeable. Rapid fat loss can also deflate body contours. So, patients are asking their doctors to tune things up,” he says.

“You dont need GLP-1s to take part in this trend. As celebrities and influencers get slimmer, we see more people choosing procedures that create a leaner, smaller silhouette. Liposuction, noninvasive sculpting, breast reduction, and smaller breast implants are definitely more popular,” he says.

“The big, ultra-curvy look has become way less popular this year. Brazilian butt lifts (BBLs) and large-volume fat grafting arent being requested the way they were a few years ago. Also, patients are becoming more aware of how unsafe these procedures can be,” Knight says. “Were also seeing patients who are asking to undo or reduce that look.”

For those who have just begun their weight-loss journey with GLP-1s, or havent yet reached their goal weight, there are ways to minimize the “Ozempic body” effect, potentially reducing the need for extensive plastic surgery down the road.

“What many people dont always realize is that these medications can lead to the loss of both fat and lean muscle tissue,” says Bob Shaw, a certified fitness coach and founder of Physical Structure, Inc.

“As a certified fitness coach who works exclusively with adults 45+, Im seeing a rise in the use of GLP-1 medications for weight loss. For adults over 45 — who are already more vulnerable to age-related muscle loss (sarcopenia) — this has real implications. Losing too much muscle can increase frailty risk, diminish mobility, and may even contribute to cognitive decline,” he says.

“I encourage anyone using GLP-1 medications to talk with their doctor about strategies that preserve, and ideally increase, muscle mass during treatment. Consistent strength training and adequate protein intake become especially important. From an aesthetic standpoint, maintaining muscle also helps avoid the skinny fat look — where weight is down, but shape, strength, and tone are diminished,” Shaw says.

“As cultural preferences shift back toward a leaner look, the real opportunity — especially for adults 45 and older — is to prioritize metabolic health, strength, and mobility rather than simply chasing thinness,” he says. “Muscle is what supports long-term healthy aging, confidence, a great-looking body and the ability to stay active and independent.”