Jennifer Witherspoon can’t stop sharing photos of her new body. After losing more than 100 pounds on a weight-loss drug, the 47-year-old in Austin got a tummy tuck and breast lift to get rid of the loose, sagging skin she was left with. Now, she’s flaunting washboard abs in a bikini for the first time in 20 years.Patients taking Wegovy, Zepbound and other new weight-loss drugs are finding that after losing 50 pounds, their skin sags over their stomachs, arms and buttocks.
As more of the estimated millions of people taking GLP-1 weight-loss shots from Eli Lilly and Novo Nordisk A/S or copycat drugs sold by companies like Hims & Hers Health begin to consider plastic surgery, doctors are now faced with ethical questions. What happens if these patients continue to lose weight — or gain it all back?
The GLP-1 craze hasn’t only been a boon for plastic surgeons, it’s also driving business for medical spas that offer services like Botox and filler. Botox and similar injections were up 9% in 2023, according to the ASPS report, and fillers were up 8%. For some, these non-invasive options or exercise can help. But for patients who have shed a significant amount of their body weight, plastic surgery may be the only way to tighten the loose skin.
In March, she got skin removal surgery, called a panniculectomy, which was paid for by her insurance. The surgeon ended up removing six pounds of skin and tissue, she said. In the last year, Matarasso has seen a two-fold increase in the number of his patients who have reported using weight-loss shots. But it’s not the first time he’s seen a new weight-loss treatment bring in waves of new customers. Two decades ago he noted the rise in “bariatric plastic surgery” from patients who’d lost large amounts of weight loss after procedures that reduced stomach or intestine sizes to limit the amount of food consumed or absorbed.
It’s common for patients to gain back some weight after body-contouring plastic surgery, according to a study published last year in the journal of the American Society of Plastic Surgeons. Researchers followed 121 patients who had surgery to remove skin folds and fat, and half had previously had bariatric surgery. The latter group saw their weight rise an average of nearly 12% from their thinnest points, compared with an average gain of 7.6% for those who had not had bariatric surgery.
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