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If you want to slim down using medications, reconsider the speed at which you shed the pounds. Ozempic has become a popular choice for people who wish to change their body size — fast. While this antidiabetic drug does deliver impressive weight loss results in a short period, people are often left with a noticeably deflated effect in the buttocks. People call this “Ozempic butt,” which describes the flattening of the butt after losing considerable weight. Learn what it is, why it happens, and how to treat it.

Key Takeaways

  • Ozempic butt is known by many informal terms such as “pancake butt,” “elephant butt,” “Ozempic booty,” or “deflated butt.”
  • Ozempic butt occurs when the butt loses fat more quickly than the skin can adapt, resulting in sagging and loose skin.
  • Ozempic butt doesn’t pose any health risks, but it can affect one’s self-confidence and negatively impact their body image.
  • Ozempic users can avoid this side effect by losing weight gradually and steadily, giving the skin time to adjust to fit the new body size.
  • Nonsurgical butt lifts, surgical butt implants, and body contouring are some of the fastest methods to add volume to the butt and restore its round shape.

Ozempic Weight Loss Explained 

Ozempic is a GLP-1 medication approved by the FDA for treating Type 2 diabetes. Using this antidiabetic drug is associated with various health consequences. One of these is weight loss, an unexpected yet desirable side effect. It’s this exact reason that many doctors prescribe Ozempic for off-label weight loss, especially for people with high body mass index (BMI).

Ozempic contains an active ingredient, semaglutide, which acts similarly to GLP-1, a naturally occurring hormone in the body. This hormone influences appetite in several ways to support weight loss. For instance, it slows down stomach emptying so you feel full longer and sends a signal to the brain that you’re full so you can stop eating.

While many people, including celebrities, praise Ozempic for its weight loss benefits, the swift weight decline has several downsides — one is Ozempic butt.

What Is Ozempic Butt?

Ozempic butt is the term people use to describe the sagging of the skin or flattening of the buttocks that may occur after losing weight at warp speed.

You’ve probably heard about it on Reddit or TikTok, where users share how their quick drop in weight has resulted in a deflated butt. This aesthetic side effect happens not because of the medication but due to the accelerated fat loss, affecting the skin surrounding the glutes. It can also occur in other body parts, like your face (Ozempic face) or breast (Ozempic breast).

What Causes Ozempic Butt? 

Your skin is elastic. It stretches when you gain weight and shrinks when you lose pounds to accommodate the new body size. However, the skin’s elasticity has limits — it stretches or shrinks slowly. It may take months to years before it adjusts to the new body size.

One of the known visible side effects of Ozempic for weight loss is Ozempic butt. If you take Ozempic, especially at a higher dosage, you may lose fat faster than your skin can catch up. Unfortunately, Ozempic can’t target fat loss in only specific areas, which means fat cells shrink rapidly all over your body, from the buttocks, arms, face, belly, or legs.

Not allowing your skin time to rebuild collagen and regain firmness can result in sagging and deflating buttocks and less defined curves.

Think of your skin as an inflated balloon. If you let the air out quickly, it collapses, and the rubber wrinkles. However, if you let the air out slowly, the balloon shrinks more gradually, retaining some of its shape. This concept applies to your skin, too.

Is It Harmful? 

Fortunately, Ozempic butt doesn’t pose any health risks, but it can affect your confidence and impact your body image. Some people develop negative thoughts and feelings about their bodies, which sometimes lead to mental health issues.

When using Ozempic to lose weight, it’s important to consider the potential aesthetic downsides — such as loosening or sagging of the skin on your face, buttocks, or arms. After solving your weight problem, you don’t want to create a new one in the form of an Ozempic butt or an Ozempic face. Ask your doctor how you can minimize these cosmetic side effects.

What Does an Ozempic Butt Look Like?

woman pinching stomach fat while holding measuring tape

An Ozempic butt can look like a wrinkling, deflated balloon. Here are some visible signs.

    • Flattened shape: Your bottom looks less plump and round compared to when you have more weight. Others refer to this as a “pancake butt.”
    • Sagging or drooping: The skin on your butt appears flabby and less firm. Some people call this “elephant butt” as it resembles the loose, wrinkly skin of the animal’s butt.
    • Wrinkling and crepey skin: When weight loss is sudden, your skin may appear thin, wrinkled, and translucent, like crepe paper. 

Many people who use Ozempic for weight loss are satisfied with their body size, except for the flat butt.

Other Related Side Effects of Ozempic for Weight Loss

Besides Ozempic butt, taking semaglutide for weight loss can also lead to these potential side effects.

Ozempic Face

Ozempic face is similar to Ozempic butt. It happens when your face loses fat, which gives it volume, resulting in your facial features sinking. Some symptoms include a gaunt look, loose skin around the neck and jawline, and sunken eyes.

Ozempic Breast

The breasts are primarily made up of fat. Rapid weight loss can result in sagging breasts and wrinkling skin.

Fortunately, you can avoid or address these aesthetic concerns.

How to Avoid Ozempic Butt

Taking a high dose of Ozempic results in rapid weight loss, which will likely cause Ozempic butt. Therefore, one way to prevent a sunken backside is to lose weight slowly and steadily. Here are some tips to do so.

  • Stick to a Lower Ozempic Dose for Maintenance

    Unless you have diabetes and need the maximum recommended 2 mg dose to manage blood sugar levels, staying at 0.5 or 1 mg of Ozempic may be a better alternative for losing fat steadily.

  • Aim to Lose 1 to 2 Pounds a Week

    The CDC recommends shedding 1 to 2 pounds per week through combined medications and lifestyle changes. You can sidestep the side effects by losing weight at a steady, healthy pace.

  • Track Your Weight Loss

    By monitoring changes in your weight, you can track how your body responds to Ozempic. For instance, if taking a 1 mg Ozempic dose makes you lose weight excessively, talk to your doctor about adjusting it.

For people who develop Ozempic butt, some treatments are available to restore the volume in the glutes and fix this aesthetic concern.

5 Ways to Fix Ozempic Butt

Woman exercising in a park

Treatments for Ozempic butt include nonsurgical butt lifts, surgical butt implants, body contouring, Brazilian butt lifts (BBL), and lifestyle changes.

1. Nonsurgical Butt Lifts

Nonsurgical butt lifts are noninvasive procedures that involve injecting dermal fillers into the butt to improve its appearance, much like how a facelift rejuvenates the face.

Sculptra is an FDA-approved dermal filler made of poly-L-lactic acid (PLLA), which stimulates collagen production and enhances the volume and firmness of the butt. After it’s injected, it takes around four to six weeks to notice changes in your bottom.

Nonsurgical butt lifts can have the following benefits.

    • Improve the appearance of sagging skin
    • Change the butt’s shape and curve
    • Add volume to the butt
    • Eliminate dimples

The biggest advantage of a Sculptra butt lift is that it requires little to no downtime. There’s no disruption in your daily activities. The results also last for up to two years.

2. Surgical Butt Implants

Some people may also opt for surgical butt enhancement, like a butt implant, to reshape the buttocks. How does this work? Doctors insert silicone implants inside the glute muscles to make the butt rounder and firmer.

Unfortunately, this procedure doesn’t work well if your skin is saggy, as silicone implants rely on tight, elastic skin to hold them in place. If the skin is loose, the implant may shift out of position. In this case, your doctor may recommend a lift to remove the excess skin before inserting the implant.

3. Body Contouring or Skin Removal Surgery

For this procedure, a surgeon removes loose, excess skin in the butt to tighten and smooth the tissues in the area. You’ll be under anesthesia, so you’ll stay asleep throughout the operation. Since this is an invasive treatment, you’ll need to take time off your usual activities for a few days to weeks to recover post-surgery. Your doctor may ask you to limit your physical activity, like driving, while recuperating.

4. Brazilian Butt Lift

BBL is a procedure that involves removing fat from other parts of the body and transferring it to the buttocks to improve its shape. Although it won’t address the excess skin or sagging, it can help restore the butt’s curve and plumpiness.

Can you take Ozempic after the BBL? Some people may decide to take semaglutide for weight loss after BBL. There are pros and cons to this. One disadvantage is you may lose the fat transferred to your butt, especially if you lose too much weight.

In short, you could end up with a flat butt again if you take Ozempic after a BBL. Experts recommend maintaining a stable weight to preserve your BBL results. Alternatively, delay the surgery until you’ve lost weight while leaving enough fat for harvesting.

5. Lifestyle Changes

You can reduce the effects of Ozempic butt through proper exercise and diet. Although the results are slow, this approach has no side effects or downtime, making it ideal for people looking for natural treatments. Here are some tips.

    • Rebuild your muscles: One study found that people who reduced their weight with Ozempic also lost 10% or more of their muscle mass. Glute-focused strength training can help restore muscle mass. Some exercises to try are squats, lunges, deadlifts, and glute bridges. Work with a fitness trainer who can guide you on how to do the exercises correctly.
    • Eat protein-rich foods: Experts recommend consuming 0.8 grams of protein per kilogram of body weight daily. Your protein needs may vary depending on your lifestyle and activity level. For instance, athletes need to consume up to 2 grams of protein per kilogram of body weight. If you’re building glute muscles, add more protein to your diet. Some great sources are eggs, fish, and poultry products.
    • Take care of your skin: Hydrate your skin by drinking more water. Ask your doctor if you can take collagen supplements. Collagen may help improve skin texture and elasticity.

Ozempic Butt Is Preventable

Ozempic butt is the term people use on the internet to describe a flat butt with drooping skin caused by using Ozempic. This occurs when the buttocks lose fat faster than the skin can adjust. While it’s not dangerous, it can affect one’s self-esteem and how they perceive their body. Related side effects include “Ozempic face” and “Ozempic breasts.”

One way to avoid Ozempic butt is to lose weight slowly and steadily, allowing the skin time to tighten and fit the new body size. For those who develop it, available treatments include a nonsurgical butt lift, body contouring, butt implant, and lifestyle changes.

Work with a certified fitness trainer to learn exercise routines that reshape the glute muscles. Eat foods rich in protein to build them. Lastly, take care of your body’s skin the same way you care for your face. Drink lots of water to keep it hydrated, and if your doctor allows, take collagen supplements to boost skin elasticity.

Frequently Asked Questions

Yes. Rapid and significant weight loss due to Ozempic can make the buttocks lose volume, resulting in a flat bottom that can persist for years. Additionally, it causes the skin to sag and droop. People call this “Ozempic butt.” It’s treatable with surgery and lifestyle changes.

A Brazilian butt lift is a procedure that transfers fat from other body parts to your butt. Ozempic can reduce your BBL results by shrinking fat cells, including those in your butt. To preserve your BBL results, delay taking Ozempic until your weight has stabilized and you’ve completely recovered from surgery.

Yes, you can restore the roundness of your butt by doing glute-focused exercises. Some examples are squats, lunges, deadlifts, and glute bridges. The key is targeting the correct glute muscles. Hire a fitness trainer to guide your form during these workouts.

Ozempic doesn’t just make you lose fat — it also reduces lean muscle mass due to rapid weight loss. Clinical trials found that people with obesity lost 10% or more of their muscle mass after taking semaglutide for 68 to 72 weeks.

Yes, the Ozempic face can improve with time if you maintain weight, use the right skincare products, and eat foods that revitalize your skin from within. Meanwhile, a nonsurgical facelift is an effective option if you’re looking for a faster remedy.

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Original Publish Date: 6/13/2023 – Updated 4/09/2025