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How do you avoid Ozempic butt?

Medically reviewed by Kristianne Hannemann, PharmD. Last updated on July 21, 2025.

Official Answer by Drugs.com

Key Points

What is Ozempic Butt?

"Ozempic butt" refers to sagging or deflated buttocks that some people experience after significant and rapid weight loss while taking Ozempic (semaglutide). This happens when fat loss occurs rapidly, and the skin does not have enough time to adjust, leading to a looser, less firm appearance.

What Causes Ozempic Butt?

Several factors contribute to the severity of "Ozempic butt," including:

How to Prevent Ozempic Butt

While it’s difficult to predict if you will experience this effect, there are steps you can take to reduce the risk:

If you’re concerned about changes in body composition while taking Ozempic, consult your healthcare provider. They can offer personalized guidance on weight loss strategies, exercise routines, and skin health to help you achieve your health goals while minimizing unwanted effects.

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Treatment Options for Existing Ozempic Butt

While prevention is always the preferred approach, many people develop Ozempic butt despite their best efforts or discover the condition after significant weight loss has already occurred. Fortunately, several effective treatment options are available to address existing buttock volume loss and skin laxity. These range from non-invasive body contouring treatments and targeted exercise programs to more comprehensive surgical solutions.

The right treatment approach depends on the severity of your condition, your personal goals, budget considerations, and how much downtime you can accommodate. Understanding these options can help you work with healthcare professionals to develop a personalized treatment plan that restores your confidence and achieves your desired results.

Non-Surgical Treatments

Body contouring treatments like Evolve and CoolSculpting can help tighten loose skin around the buttocks area and remove excess fat cells, allowing the body to remove them over time. These procedures use radiofrequency or cooling technology to stimulate collagen production and improve skin elasticity without surgery.

Physical therapy programs specifically designed for muscle rebuilding can help restore gluteal volume through targeted exercises and resistance training. A qualified physical therapist can create a personalized program focusing on the gluteus maximus, medius, and minimus muscles.

Exercises for Ozempic butt may include:

Always consult with your healthcare professional before starting a new exercise program.

Surgical Solutions

For severe cases, buttock lift surgery (lower body lift) can remove excess skin and reposition remaining tissue for a more youthful appearance. This procedure is typically recommended when non-surgical methods prove insufficient. Brazilian Butt Lift (BBL) procedures using fat transfer from other body areas can restore lost volume, though this requires having adequate donor fat available.

References
  1. Ashtray-Larky, D., et. al. (2017). Rapid Weight Loss vs. Slow Weight Loss: Which is More Effective on Body Composition and Metabolic Risk Factors? In: International Journal of Endocrinology and Metabolism. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5702468/
  2. Dr. Ali. Three Top Treatments for “Ozempic Butt”. Dr. Ali Plastic Surgery & AMAE Med Spa Blog. https://drali.com/ozempic-shots-troy-mi/. Published May 29, 2023. Accessed July 21, 2025.
  3. Humphrey, C. D., et. al. (2023). Implications of Ozempic and Other Semaglutide Medications for Facial Plastic Surgeons. In: Facial Plastic Surgery. Available from: https://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-2148-6321
  4. InMode. EvolveX. InModeMD. https://inmodemd.com/workstation/evolvex/. Accessed July 21, 2025.
  5. Keen, M. A., et. al. (2016). Vitamin E in dermatology. In: Indian Dermatology Online Journal. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4976416/
  6. Neto, W. K., et. al. (2020). Gluteus Maximus Activation during Common Strength and Hypertrophy Exercises: A Systematic Review. In: Journal of Sports Science and Medicine. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7039033/
  7. Papakonstantinou, E., et. al. (2012). Hyaluronic acid: A key molecule in skin aging. In: Dermato Endocrinology. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3583886/
  8. The American Board of Cosmetic Surgery. Brazilian Butt Lift. The American Board of Cosmetic Surgery. https://www.americanboardcosmeticsurgery.org/procedure-learning-center/body-procedures/brazilian-butt-lift/. Accessed July 21, 2025.

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