The Weight Comes Off, But the Skin Doesn’t
You committed to the injections. You changed your eating habits. Maybe you even started walking again or found yourself with more energy than you’ve had in years. You did everything right. The scale confirms it. But then the mirror reflects something else: excess skin, stretch marks, and new curves that don't quite sit the way they should. This is the part of the weight loss journey most people don’t talk about: the aftermath.
At San Antonio Cosmetic Surgery, we understand what Ozempic and similar weight loss injections can do for your overall health, and what they often leave behind. Led by Dr. Delio Ortegon, a board-certified plastic surgeon, our clinic in San Antonio, TX, offers customized surgical and non-surgical options to restore shape, smooth contours, and help your body feel like it matches your progress.
“Ozempic Tummy” is a term used to describe the sagging, loose abdominal skin and altered body contour that can occur after rapid weight loss, especially from medications like semaglutide and tirzepatide (branded as Ozempic or Wegovy). These once-weekly injections work by helping the body regulate appetite, improving blood sugar regulation, and leading many patients to lose weight, often more quickly than with traditional methods alone.
But significant results often come with trade-offs. When you lose weight faster than your skin can adjust, it may not have time to rebuild collagen production or maintain elasticity. The result? Loose skin, volume loss, and soft tissues that hang or fold, particularly around the midsection. For many patients, this leads to visible wrinkling or drooping across the lower abdomen, commonly referred to as Ozempic Tummy. The same problem can affect other areas: Ozempic Breast (loss of volume in the chest), Ozempic Butt (flatness or sagging in the glutes), and even the inner thighs. It’s not a reflection of failure. It’s simply the body catching up.
These side effects are more common in patients who:
In many cases, it’s a combination of aging, genetics, body fat distribution, and how your body adjusts to changes in size. Even with a healthy lifestyle, balanced diet, and consistent medical weight loss program, skin does not always bounce back on its own.
The right treatment depends on your symptoms, medical history, and goals. At San Antonio Cosmetic Surgery, we build a personalized treatment plan after a detailed consultation. Common solutions include:
Removes excess skin and tightens abdominal muscles. Particularly effective for patients with skin folds or distension below the belly button.
Includes thigh lift, arm lift, and fat transfer to refine the silhouette and correct areas affected by deflation.
Ideal for patients experiencing breast volume loss or sagging. May include breast implants or natural fat grafting, depending on preference.
Options like radiofrequency energy can help stimulate collagen production, improve tone, and tighten surface laxity for minimal downtime.
Most patients seeking correction for Ozempic Tummy meet the following criteria:
We also evaluate:
No one warns you how strange it feels to achieve weight loss but not feel proud of the reflection in the mirror. The daily pull of skin. The frustration of new clothes that don’t quite fit. The hit to your self-esteem, even when people say, “You look great!”. Addressing Ozempic Tummy is not vanity. It’s a continuation of your overall well-being. For many in San Antonio, correcting it has meant finally feeling like themselves again.
Your first step is a private consultation with Dr. Ortegon. We’ll walk through your full medical history, current symptoms, and goals. Photos, measurements, and diagnostic tools may be used to evaluate:
From there, we’ll build a treatment plan that fits your timeline, recovery bandwidth, and budget.
Recovery varies depending on the scope of treatment, but here’s what most patients experience:
Procedures like a tummy tuck or breast lift may leave small scars, but they are positioned strategically and fade with care. The majority of patients report significant improvement in comfort, clothing fit, and self-esteem.
Ozempic Tummy procedures are highly personalized, and pricing reflects that. Factors that affect body contouring cost include:
In rare cases, insurance may offer partial reimbursement if excess skin causes rashes or infections. We’ll review your insurance coverage options and provide clear, upfront pricing.
Our practice is about helping real people feel whole again. Dr. Ortegon has spent years working with San Antonio patients who’ve achieved significant weight loss through semaglutide, tirzepatide, or traditional programs. We don’t take a one-size-fits-all approach. We listen. We customize. We deliver results grounded in safety, trust, and aesthetic excellence.
If you've hit a wall in your weight loss journey and are ready to take the next step, we're here to help. Book your personalized treatment plan consultation at San Antonio Cosmetic Surgery today. We’ll meet you where you are—and help you take the next step with confidence.
Call (210) 368-6618 or reach out online to get started.
We typically recommend waiting until your body weight has been stable for at least 6 months.
Not usually. Skin stretched by rapid weight loss often lacks elasticity to shrink back fully.
For mild cases, yes. Radiofrequency energy and skin tightening can help, but results vary.
Coverage is rare but possible. We can help you explore eligibility based on symptoms and documentation.
A commitment to lifestyle changes, a healthy diet, and weight management is key to maintaining your outcome.
Yes. Many patients, regardless of gender, struggle with skin laxity after medical weight loss.
Contact us today to schedule your consultation with the renowned San Antonio plastic surgeon and breast & body specialist Dr. Delio Ortegon. Take your first steps to a more beautiful you.
4910 Golden Quail Suite 140, San Antonio, TX 78240