Ozempic, a medication for type 2 diabetes, is widely known for causing weight loss. But some users notice a surprising side effect: sagging or flat buttocks, called “Ozempic butt.”
This article explains what Ozempic butt is, why it happens, and how to manage it.
What Is Ozempic?
Ozempic is a brand name for semaglutide, a GLP-1 receptor agonist. It’s an injectable drug used to control blood sugar in adults with type 2 diabetes. It also suppresses appetite, leading to significant weight loss.
Many use Ozempic off-label for weight loss, though Wegovy, another semaglutide brand, is FDA-approved for this purpose. Its popularity has soared, but side effects like Ozempic butt have raised concerns.
Defining Ozempic Butt
What is Ozempic butt? It’s a nonmedical term for sagging, flat, or deflated buttocks after rapid weight loss from Ozempic. The term also applies to similar drugs like Wegovy or Mounjaro.
This happens when fat and muscle in the buttocks decrease quickly, leaving loose skin. It’s not a direct effect of the drug but a result of fast weight loss. It’s similar to “Ozempic face,” where facial skin sags.
Why Does Ozempic Butt Happen?
Ozempic causes rapid weight loss by reducing appetite and slowing digestion. In a 2024 study, semaglutide users lost up to 17% of their body weight in 68 weeks. This speed outpaces the skin’s ability to adapt.
The buttocks, which store fat and muscle, lose volume quickly. Skin elasticity, weakened by age or genetics, struggles to shrink back, causing sagging. This creates the deflated look of Ozempic butt.
Factors That Increase the Risk
Not everyone gets Ozempic butt, but certain factors make it more likely. Age plays a big role—older skin has less collagen and elastin, making it less elastic. Rapid weight loss also increases the risk.
Other factors include:
- Amount of Weight Lost: Losing over 100 pounds or 40% of excess weight heightens sagging.
- Body Fat Distribution: People with more buttock fat notice bigger changes.
- Genetics: Skin elasticity varies by person.
- Duration of Obesity: Long-term obesity stretches skin, reducing its ability to rebound.
How Common Is Ozempic Butt?
Ozempic butt isn’t tracked in clinical studies, so exact numbers are unclear. However, posts on X and reports from 2024 suggest it’s a growing concern among users. It’s more common in those losing significant weight quickly.
For example, a 2023 Healthline article noted that sagging skin is a known issue after rapid weight loss. While not everyone experiences it, older users or those with higher initial body fat are more prone.
Impact on Appearance and Confidence
Ozempic butt can affect how clothes fit, with pants feeling looser or less flattering. The sagging or flat appearance may lower self-esteem, especially for those who valued their curvier shape. It’s a cosmetic issue, not a health risk.
Some users on X in 2024 shared feeling disappointed by these changes despite weight loss success. Others embraced their healthier bodies but sought ways to improve their buttocks’ look.
Health Implications of Rapid Weight Loss
Rapid weight loss from Ozempic can cause more than cosmetic changes. Losing muscle alongside fat may weaken the gluteal muscles, affecting posture or movement. This was noted by a physical therapist in a 2025 Hinge Health article.
Other risks include nutrient deficiencies from reduced appetite or skin irritation from loose folds. A balanced diet and exercise can help minimize these effects.
Preventing Ozempic Butt
While you can’t fully prevent Ozempic butt, some steps may reduce its severity. Losing weight slowly allows skin to adjust better. Experts recommend a gradual loss of 1–2 pounds per week.
Other preventive measures include:
- Strength Training: Exercises like squats and lunges build gluteal muscle.
- Hydration: Drinking enough water keeps skin elastic.
- Nutrition: A protein-rich diet supports muscle maintenance and skin health.
- Skincare: Moisturizers with hyaluronic acid or retinol may improve elasticity.
Non-Surgical Treatments for Ozempic Butt
Non-surgical options can improve the appearance of Ozempic butt. These treatments focus on tightening skin or building muscle without invasive procedures. They’re ideal for mild to moderate sagging.
Popular options include:
- Emsculpt: Uses electromagnetic energy to stimulate muscle growth, increasing gluteal firmness.
- Radiofrequency Microneedling: Boosts collagen to tighten skin, reducing sagging.
- Sculptra or Radiesse: Injectable fillers that add volume and stimulate collagen.
- CoolTone: Enhances muscle tone and contours the buttocks.
These treatments, noted in a 2024 Coolspa article, require little to no downtime.
Surgical Options for Severe Cases
For significant sagging, surgery may be the best solution. A buttock lift or lower body lift removes excess skin and tightens the area. These procedures are more invasive but offer lasting results.
Fat grafting, like a Brazilian butt lift (BBL), adds volume by transferring fat from other body areas. However, Ozempic use may reduce BBL results, as it can break down grafted fat, per a 2025 Medical News Today report.
Comparing Treatment Options
The table below compares non-surgical and surgical treatments for Ozempic butt to help you choose.
| Treatment | Pros | Cons |
|---|---|---|
| Emsculpt/CoolTone | Non-invasive, builds muscle, no downtime | Multiple sessions needed, costly |
| Radiofrequency | Tightens skin, boosts collagen, quick | Temporary results, may need maintenance |
| Sculptra/Radiesse | Adds volume, long-lasting (up to 2 years) | Requires injections, gradual results |
| Buttock Lift/BBL | Permanent results, dramatic improvement | Invasive, long recovery, higher risks |
This table shows that non-surgical options suit milder cases, while surgery is better for severe sagging.
Lifestyle Changes to Support Results
Exercise is key to maintaining gluteal muscle and shape. Focus on strength exercises like glute bridges, step-ups, or deadlifts. A 2020 study in Journal of Sports Science and Medicine found these boost gluteus maximus activation.
Eat protein-rich foods like eggs, fish, or beans to preserve muscle. Staying hydrated and using moisturizers with retinol or peptides can improve skin texture. These habits, recommended by experts in a 2024 First for Women article, support long-term results.
Consulting a Healthcare Provider
Before starting Ozempic, discuss potential side effects like Ozempic butt with your doctor. They can adjust your dose to slow weight loss, reducing sagging risks. A healthcare provider can also recommend treatments if sagging occurs.
For cosmetic concerns, consult a board-certified plastic surgeon or dermatologist. They can assess your skin and suggest tailored solutions, from Emsculpt to surgery.
The Role of Social Media
Social media platforms like TikTok and X have popularized the term “Ozempic butt.” A 2024 X post by @holli_the_nord noted muscle loss in the buttocks, echoing user experiences. Another post from @boredpanda in 2025 highlighted rising complaints about this side effect.
While social media raises awareness, it can exaggerate concerns or spread misinformation. Always verify information with trusted medical sources before acting.
Other Side Effects of Ozempic
Ozempic butt isn’t the only side effect. Common issues include nausea, vomiting, diarrhea, and constipation, per a 2024 StatPearls study. Rare but serious risks include pancreatitis, thyroid tumors, or vision changes.
Rapid weight loss can also cause “Ozempic face,” gallstones, or hair loss. Discuss these risks with your doctor to weigh Ozempic’s benefits against potential downsides.
What to Expect from Weight Loss Drugs
Ozempic and similar drugs like Wegovy or Mounjaro offer major health benefits, like lower blood pressure and improved diabetes control. A 2024 Northwell Health article noted kidney function benefits, too. However, rapid weight loss can lead to unexpected body changes.
Understanding what Ozempic butt is helps users prepare for cosmetic changes. Combining medication with lifestyle changes can minimize unwanted effects while maximizing health gains.
The Bigger Picture
Ozempic butt highlights the trade-offs of rapid weight loss. While losing weight improves health, it can alter appearance in ways that affect confidence. The term also sparks debate about weight stigma, as noted in a 2024 WebMD article, by focusing on cosmetic flaws.
Future research may clarify how to prevent or treat sagging skin from weight loss drugs. For now, proactive steps and medical guidance are key.
Summary
What is Ozempic butt? It’s the sagging or flat appearance of the buttocks caused by rapid weight loss from Ozempic or similar drugs. Factors like age, genetics, and the amount of weight lost increase the risk. The skin’s reduced elasticity and loss of fat and muscle create this effect.
Preventive measures include slow weight loss, strength training, and a protein-rich diet. Non-surgical treatments like Emsculpt or surgical options like a buttock lift can help. Consulting a doctor and staying informed ensures you manage Ozempic butt while enjoying the drug’s benefits.
FAQ
What is Ozempic butt?
Ozempic butt is a term for sagging or flat buttocks after rapid weight loss from Ozempic. It’s caused by reduced fat and muscle, with skin losing elasticity. It’s a cosmetic issue, not a direct drug effect.
How common is Ozempic butt?
Exact numbers are unknown, but it’s more common in those losing significant weight quickly. Older users or those with more buttock fat are more likely to notice it. Social media reports suggest it’s a growing concern.
Can you prevent Ozempic butt?
Slow weight loss, strength exercises like squats, and a protein-rich diet can reduce the risk. Staying hydrated and using moisturizers with retinol may help skin elasticity. Consult your doctor for personalized advice.
What treatments fix Ozempic butt?
Non-surgical options like Emsculpt or Sculptra improve muscle tone and skin firmness. Surgical treatments like a buttock lift or BBL address severe sagging. A plastic surgeon can recommend the best approach.
Does Ozempic butt affect health?
Ozempic butt is mainly a cosmetic concern, but muscle loss can impact posture or movement. Loose skin may cause irritation. A balanced diet and exercise can help maintain overall health.