Should I do Ozempic, Wegovy, Mounjaro or Liposuction

Daniel J Farrugia MD PhD FACS

May 4, 2023

Weight Loss

Ozempic (as well as Wegovy and Mounjaro) and liposuction are two very different options that address different issues.

Ozempic is a prescription medication used to treat type 2 diabetes by regulating blood sugar levels. It is not a weight loss medication and is not intended to address localized areas of excess fat.

Wegovy is a prescription medication used to treat obesity in adults who have a body mass index (BMI) of 30 or higher, or who have a BMI of 27 or higher and at least one weight-related condition, such as high blood pressure or type 2 diabetes. While Wegovy can be an effective treatment option for some patients, it is not without its potential disadvantages.

In addition to Mounjaro, the above medications are a newer class of medications that specifically target a peptide involved in appetite regulation, called GLP-1. As such, these drugs are classified as GLP-1 inhibitors.

Liposuction, on the other hand, is a cosmetic surgery procedure that involves removing excess fat from specific areas of the body, such as the abdomen, thighs, or hips. It is typically recommended for patients who have already achieved a healthy weight through diet and exercise but are still struggling with areas of stubborn fat.

Liposuction is not a weight loss procedure. While people who undergo liposuction will lose the weight of the fat that was removed, it is important to remember that fat is lighter than water. In fact, it floats on water. However, because a body contouring procedure like liposuction selectively removes the outermost body fat that is responsible for the silhouette of the body, it often results in significant alterations in body contour that can resemble the result that people achieve when losing weight. We like to say that liposuction “removes the fat that the eye sees”.

Disadvantages of Ozempic, Wegovy and Mounjaro

The main disadvantage of Ozempic, Mounjaro and Wegovy is that these medications cause changes in overall fat distribution, which can affect the appearance of the face, leading to what is called the “Ozempic face”, an older looking face due to an earlier loss of the fat in the face that makes people look younger sometimes before the fat from around the abdomen goes away.

In the same principle, these medications commonly target first the fat that you don’t want to lose, such as the fat in the face and in the buttocks. If you are considering a fat transfer procedure such as fat transfer to the buttock or the breasts, losing fat with these medications may leave you with loose skin and not enough fat to transfer to your buttock (BBL) or breasts.

Here are a few other potential disadvantages of Wegovy and Ozempic:

Side Effects: Like all medications, Wegovy and Ozempic can cause side effects. The most common side effects include nausea, diarrhea, vomiting, and constipation. Some patients may also experience headaches, dizziness, or fatigue.
Cost: Wegovy can be expensive, and not all insurance plans may cover the cost of the medication. This can make it difficult for some patients to afford the medication. Many patients are also not approved by their insurance company for Ozempic, which is targeted for pre-diabetic patients.
Long-Term Safety: While Wegovy has been shown to be safe and effective in clinical trials, its long-term safety has not yet been established. Some potential risks associated with long-term use of the medication are not yet fully known.
Injection: Wegovy and Ozempic are administered by injection every week, which may be inconvenient or uncomfortable for some patients.
Weight Regain: While Wegovy and Ozempic can be an effective tool for weight loss, it is important to note that weight regain is possible if healthy lifestyle changes are not maintained.

Final Thoughts

The decision to pursue Ozempic/Wegovy/Mounjaro or liposuction will depend on your individual needs and goals. If you have type 2 diabetes and are struggling to manage your blood sugar levels, Ozempic may be an appropriate treatment option to discuss with your healthcare provider. If you have areas of excess fat that are resistant to traditional weight loss methods and you are interested in improving body contouring and appearance, liposuction may be a more appropriate option.

It is important to discuss your options with your healthcare provider to determine which option is right for you based on your individual needs, goals, and medical history.

Tags :

GLP1 Inhibitors, Ozempic, Skinny Shot, Wegovy