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A person posted that they’ve lost more than 100 pounds while taking semaglutide (the drug in Ozempic/Wegovy) but are still unhappy with their body because of loose skin. They say they’re still wearing large clothes to hide themselves, getting rashes in skin folds, and are thinking about body contouring surgery to remove excess skin. They asked for others’ experiences. Semaglutide is a medicine that acts like a natural gut hormone that tells your brain you’re full and slows how fast your stomach empties. That makes many people eat less and lose weight. It’s prescribed for diabetes and for long-term weight management. It’s not a magic fix for body shape — it mostly reduces fat and appetite, and rapid or large weight loss can leave extra skin because skin and connective tissue don’t always bounce back. The post is a personal account, not a scientific study. It’s one person describing real-world effects: big weight loss on semaglutide, then loose skin, clothing choices to hide, and skin irritation in folds. Those are well-known outcomes after major weight loss: loose or excess skin, discomfort, and rashes are common complaints. The person is asking about body contouring surgery (the umbrella term for procedures that remove and reshape excess skin), and wants to know how others navigated it. This isn’t evidence about semaglutide causing problems beyond expected weight-loss consequences — it’s a lived experience that highlights an often-overlooked part of the weight-loss journey. Why this matters: someone thinking about semaglutide for weight loss should know that losing a lot of weight can bring new challenges, like excess skin and skin irritation. These issues can affect comfort, clothing choices, self-esteem, and physical health (rashes, infections). People considering surgery will want to weigh benefits (removal of excess skin, easier movement, fewer rashes) against cost, recovery time, scarring, and the fact that surgery itself carries risks. It’s relevant for anyone planning major weight loss, their friends and family, and health professionals advising patients. Caveats and risks: this post is anecdotal and doesn’t tell us medical details like how long they were on semaglutide, surgical history, or other health conditions. Body contouring surgeries (like tummy tucks, arm lifts, thigh lifts) require a qualified plastic surgeon, pre-op evaluation, time off work, and can leave permanent scars and complications (bleeding, infection, poor wound healing). Insurance sometimes won’t cover cosmetic procedures, though coverage varies if skin issues cause medical problems. If someone is considering surgery, they should consult both the prescribing doctor for semaglutide and a board-certified plastic surgeon to discuss timing, risks, and realistic outcomes. Bottom line: Semaglutide can lead to big weight loss, but excess skin and related problems are common afterwards; body contouring is an option, but it’s a serious decision that needs medical advice and careful planning.
Source: r/Semaglutide