GLP-1 weight loss drugs like Ozempic, Wegovy and Zepbound keep Long Island plastic surgeons busy
Rapid weight loss from GLP-1 medications like Ozempic, Wegovy, and Zepbound is changing the landscape for plastic surgeons on Long Island. Many patients who reach their goal weight find that their skin does not naturally tighten, leading to a surge in demand for body contouring procedures. These surgeries remove excess hanging skin on the abdomen, arms, and legs. While some patients pursue these procedures for aesthetic reasons, others require them to address functional issues like chronic skin irritation, fungal rashes, and back pain caused by the weight of the excess tissue.
Plastic surgeons describe the physical state of the skin as a deflated balloon. Once skin stretches past a specific point, it loses the ability to recoil, leaving patients with significant folds. Surgeons like Dr. Kevin Small and Dr. Kevin Kresofsky report longer waitlists as the popularity of these weight loss drugs continues to grow. Recent industry data shows that approximately 20% of individuals taking GLP-1 medications have undergone a surgical procedure to manage these changes, while many others are currently exploring non-surgical options.
Medical experts emphasize that weight loss programs are most effective when paired with resistance training and high protein intake. Muscle loss is a common side effect of rapid weight reduction, which can exacerbate the appearance of sagging skin. Without consistent strength training and proper nutrition, the body may break down muscle tissue rather than fat. Surgeons caution that while these medications are powerful, they are not a substitute for lifestyle changes. Patients must also remember to discontinue the use of these drugs for several weeks before any procedure requiring anesthesia to prevent medical complications.
For patients like Jeanne Erland, the surgeries represent the final step in a two-year process to reclaim their mobility. After losing 164 pounds, she underwent multiple procedures to remove excess skin from her stomach and arms. These operations have allowed her to return to active hobbies like tennis and skiing. For many, these procedures transition from elective cosmetic work to reconstructive efforts that improve daily comfort and posture.

