I am Anne Beaumont. I have practiced clinical aesthetics in Paris for 38 years, specializing in skin conditions triggered by hormonal disruption.
Three months ago, a woman walked up to my pop-up consultation table at a wellness expo in Phoenix. Her name was Margaret Anders. She was 56. She had lost 78 pounds on Wegovy between January and September of last year.
She showed me two photos on her phone. The first was from 14 months earlier, a few weeks before she started the medication. Her arms in that photo looked normal. Healthy. Age-appropriate.
Then she showed me her arms now.
The skin had gone from smooth to crepey. Loose. Papery. Deflated. Texture I would normally only see in a woman 15 years older.
"My dermatologist said it's just loose skin," Margaret told me. "She said to give it time. That was nine months ago."
That is when it hit me. This was not "just loose skin." This was something specific. And I had now seen it dozens of times in the previous 18 months — almost always in women who had lost weight on Mounjaro, Ozempic, Wegovy, or Zepbound.
I spent that weekend going through my client records from the past two years. What I found made me furious at my own profession.
Eleven women. Identical pattern. Every one of them on a GLP-1 medication. Every one of them told the same sentence by their American dermatologist: "give it time, it'll tighten on its own."
It does not tighten on its own. And we have been missing the obvious answer for two years.