Recently, Ozempic / Wegovy has taken center stage in the conversation surrounding weight loss, but liposuction is still a good solution for many patients who do not need or want a significant amount of weight loss but want to address areas of stubborn fat. According to Dr. MyChi Le of Plastic & Reconstructive Surgery, a Division of U.S. Dermatology Partners, “Many patients visit me who want to achieve their weight loss goals and find a way to look and feel their very best. I love working with patients who want to sculpt and tone their bodies, so they feel a greater sense of confidence. While discussion of Ozempic / Wegovy for weight loss has the internet buzzing, it’s not the best option for everyone. Many people benefit from plastic surgery options like liposuction. The final decision should be made after careful consideration and discussion with a physician.” In this blog, Dr. Le walks through the main differences between liposuction vs Ozempic / Wegovy and how to determine which is right for you.

Understanding Liposuction

Liposuction is a moderately invasive cosmetic surgery procedure that may be recommended to remove stubborn fat deposits that have been resistant to exercise and dietary changes. While weight may decrease slightly following liposuction, the main goal of this procedure isn’t weight loss. When fat stores are removed through liposuction, blood and other fluids are also removed and will be replaced, so you may regain some of the lost weight transiently. Instead of offering an effective weight loss solution, liposuction improves the shape and contour of the body by removing unwanted fatty deposits.

Advantages of Liposuction

• Fat deposits are removed quickly.
• Fat removed during liposuction can be used to plump other areas.
• Targeted removal of fatty deposits allows for precise smoothing and shaping.

Disadvantages of Liposuction

• Surgical procedures have potential risks and negative side effects that occur during healing.
• Need to plan plenty of time to rest and recover.
• Not recommended for weight loss.

Understanding Ozempic / Wegovy

Ozempic is the brand name for an injectable treatment formulated to improve diabetes symptoms. It uses semaglutide to stimulate insulin secretion and slows digestion. This makes people feel full more quickly and for longer, which reduces overeating. Ozempic is administered via once-a-week injections. Wegovy is semaglutide that is improved for weight loss treatment.

Advantages of Ozempic / Wegovy

• Non-invasive treatment with little to no downtime.
• Dramatic weight loss results, including loss of fat stores deep within the abdomen.
• Manages weight, lowers A1C, and improves other symptoms of diabetes.

Disadvantages of Ozempic / Wegovy

• Potential for numerous adverse side effects, including allergies, nausea, and constipation.
• Rapid weight loss can lead to loose, saggy skin and fat loss from places where you do not need to lose.
• Ozempic can be expensive, and a national shortage may make Ozempic hard to find.

Comparing Liposuction vs Ozempic / Wegovy

When it comes to making a choice between Ozempic /  Wegovy and liposuction, you should consider the answers to some important questions:

• What is your main treatment goal? – If you’re close to your goal weight but looking to quickly remove fatty deposits, liposuction is the best option. If your main desire is to lose weight, you may want to choose Ozempic. This weekly injectable treatment takes a longer time, but it’s more effective for weight loss.
• Are you trying to address additional healthcare concerns? – Liposuction makes it easier to remove fatty deposits, but it doesn’t necessarily improve health. Ozempic was developed to reduce A1C as part of diabetes management. It has also shown some potential to improve symptoms of thyroid dysfunction and polycystic ovary syndrome.
• Can you receive both Ozempic and liposuction? – The majority of people will choose either Ozempic or liposuction, but in some cases, both treatments can be combined. Specifically, Ozempic may be used to achieve weight loss goals. Then, liposuction is used to remove stubborn fat deposits.
• Have you talked to a professional? – We often think we know exactly what treatment will work best, but after talking to a professional, it becomes apparent that there is a better option. A consultation gives you the opportunity to talk through your treatment options and ensure you make the best decision.

Who Is a Good Candidate for Each Treatment Option?

A consultation with a professional is the only way to know for certain that Ozempic or liposuction is the best option for your weight loss goals. However, there are some important factors that make the ideal candidates for liposuction and Ozempic as outlined below:

Candidates for Ozempic / Wegovy

• BMI of 30 or greater.
• BMI over 27 with a cooccurring health condition like diabetes or polycystic ovary syndrome.
• Realistic weight loss goals.
• Committed to lifestyle changes like improving diet and getting more exercise.

Candidates for Liposuction

• Struggling to remove fat deposits that are resistant to diet and exercise.
• Close to goal weight.
• Healthy enough to undergo a minimally to moderately invasive surgery.
• Healthy skin with good elasticity.
• Able to take necessary time for recouperation.

Dr. Le’s Insights: Liposuction for Toning vs Ozempic for Weight Loss

“At the end of the day,” Dr. Le says, “I almost always recommend liposuction for those who are simply toning up and removing stubborn fat stores. Ozempic is a better option for those who really need a boost to reach their weight loss goals. However, your physician and you are the only ones who know what’s right for you.”

Explore Your Options

According to Dr. Le, “The decision to pursue any medical or surgical treatments should not be taken lightly. There are numerous factors at play that can lead to complications and health concerns. Know your options. Take time before moving forward. Always work with a knowledgeable professional who can answer your questions, provide treatment that meets all regulations, and ensure you never feel pressured or rushed to make your choice.”

Learn More About Weight Loss Options

The final decision to move forward with weight loss surgery or other treatment options will always be a very personal one. If you’re interested in discussing your weight loss and fat sculpting options with Dr. Le, she welcomes you to schedule a consultation with her at Plastic & Reconstructive Surgery Lee’s Summit, Kansas City Shoal Creek, or Overland Park. Not in the KC area? There are numerous locations where you can explore your options with board-certified plastic surgeons. To get started, simply take a few moments to complete our online scheduling form.