Haykal Diala, Hersant Barbara, Cartier Hugues, Meningaud Jean-Paul
Private Practice, Centre Laser Palaiseau, Palaiseau, France.
Department of Plastic and Cosmetic Reconstructive Surgery, Henri Mondor Hospital, Créteil, France.
J Cosmet Dermatol. 2025 Feb;24(2):e16716. doi: 10.1111/jocd.16716. Epub 2024 Dec 8.
Glucagon-like peptide-1 (GLP-1) receptor agonists, such as semaglutide, have revolutionized the treatment of diabetes and obesity by promoting significant weight loss through incretin effects. However, rapid weight reduction induced by these medications often leads to esthetic challenges, including facial volume loss, skin laxity, and body contour irregularities. This commentary reviews the esthetic consequences of GLP-1-induced weight loss and explores solutions for managing these concerns in clinical practice.
This review synthesizes available literature and clinical observations to identify key esthetic concerns associated with GLP-1-induced weight loss. It examines various treatment modalities, including dermal fillers, biostimulatory agents, energy-based devices, and surgical procedures. The discussion highlights gaps in empirical data, optimal timing for interventions, and the need for personalized, multimodal treatment strategies. Imaging tools and psychological support are also considered as complementary approaches.
As GLP-1 agonists become a cornerstone in obesity management, their esthetic implications necessitate a proactive response from esthetic practitioners. Effective management of facial volume loss, skin laxity, and body contour challenges requires a combination of injectable treatments, energy-based devices, and, in some cases, surgical interventions. Future research should focus on understanding the molecular mechanisms of skin and fat changes and developing standardized guidelines for treating this unique patient population. Additionally, a holistic approach that addresses both physical and psychological outcomes is critical to ensuring patient satisfaction and long-term well-being.
胰高血糖素样肽-1(GLP-1)受体激动剂,如司美格鲁肽,通过肠促胰岛素效应促进显著体重减轻,从而彻底改变了糖尿病和肥胖症的治疗方式。然而,这些药物引起的快速体重减轻常常导致美学方面的问题,包括面部容积减少、皮肤松弛和身体轮廓不规则。本述评回顾了GLP-1诱导体重减轻的美学后果,并探讨了在临床实践中处理这些问题的解决方案。
本综述综合现有文献和临床观察结果,以确定与GLP-1诱导体重减轻相关的关键美学问题。它研究了各种治疗方式,包括真皮填充剂、生物刺激剂、能量型设备和外科手术。讨论强调了实证数据的差距、干预的最佳时机以及个性化多模式治疗策略的必要性。成像工具和心理支持也被视为辅助方法。
随着GLP-1激动剂成为肥胖症管理的基石,其美学影响需要美学从业者积极应对。有效处理面部容积减少、皮肤松弛和身体轮廓问题需要结合注射治疗、能量型设备,在某些情况下还需要手术干预。未来的研究应侧重于了解皮肤和脂肪变化的分子机制,并制定针对这一独特患者群体治疗的标准化指南。此外,一种兼顾身体和心理结果的整体方法对于确保患者满意度和长期健康至关重要。