“Ozempic Earlobes” Are a Common, Correctable Side Effect of Weight Loss, Experts Say
A surprising side effect of rapid weight loss induced by medications like Ozempic is prompting increasing numbers of patients to seek cosmetic adjustments to their earlobes, according to facial plastic surgeons. The phenomenon, dubbed “Ozempic earlobes,” manifests as thinning, drooping, or stretching of the earlobe, adn can even affect how earrings sit. However, doctors emphasize the issue is easily addressed and preventable with proper timing and care.
The change is due to volume loss as fat diminishes across the body, including the earlobes, explains Dr. Pirani. “If the main issue is loss of volume, fat can be taken from another part of the body and injected into the lobe, a process called fat grafting,” he says. Alternatively, if loose skin is the primary concern, a small earlobe reduction – similar to a “mini tummy tuck” – can reshape and firm the lobe.
modern facial plastic surgery offers a tailored approach, notes Dr. Dedhia. Options include earlobe reduction (lobuloplasty), volume restoration with hyaluronic acid fillers or fat grafting, and skin tightening using microneedling, radiofrequency, or lasers. “Each option has subtle but effective results,” he states.
Crucially, experts agree timing is key. Dr. Berlet advises waiting until weight has stabilized before considering surgery to ensure lasting results. Procedures are typically performed under local anesthesia with minimal downtime.
Patients should seek advice if their earlobes appear thinner, droopy, or stretched, or if earrings no longer fit correctly, once their weight has plateaued. Temporary fillers can definitely help restore balance during weight loss, but fat grafting or reduction provides a more permanent solution once weight is stable, according to Dr. Pirani.
Dr. Dedhia emphasizes the importance of consulting a facial plastic surgeon to determine the best course of action - whether an in-office lift,filler,or a combination of treatments. Dr. Berlet adds that earlobe assessment should be considered within the context of the entire face,as these changes often occur alongside facial or neck laxity.
While the term “Ozempic earlobes” may sound concerning,doctors reassure patients it’s a common and easily corrected issue. “Even a small adjustment can make a big difference and help people feel that their appearance reflects the change they’ve worked hard to achieve,” says Dr. Pirani.
To maintain results, Dr. Dedhia recommends avoiding heavy earrings,using sunscreen on the ears,and maintaining a collagen-supporting skincare routine. Dr. Berlet’s advice is more holistic: prioritize good nutrition, protein, and hydration throughout a weight loss journey, and avoid rushing into procedures before weight stabilizes. Post-healing, maintaining a healthy weight, avoiding smoking, and limiting sun exposure will prolong results.
