Life after weight loss medication is about more than the scales. At Omnia Lifestyle in Chiswick W4 we help with what comes next: looser skin, muscle and strength, and body composition, using InBody and Styku scans, physiotherapy and LPG Endermologie. We do not prescribe these medicines; your prescriber or GP leads on them.
This page is educational. Whether to start, stop, switch or change the dose of a medicine such as Mounjaro (tirzepatide), Wegovy or Ozempic (semaglutide) is always a decision for you and your prescriber or GP. The NHS says not to stop these medicines suddenly without talking to your doctor.
Weight loss changes more than the scales. This is how we think about each part, and where to start.
| Area | What often changes | What helps | At Omnia |
|---|---|---|---|
| Body skin | Softer or looser skin on the stomach, arms, thighs and bottom | Time at a stable weight, strength work, sun protection, skin treatment for mild to moderate looseness, surgery for hanging skin | LPG Endermologie, £99 Discovery Session |
| Face | Hollower cheeks, softer jawline, tired-looking skin | Skin care, skin treatment for firmness, volume replacement for hollows | LPG face treatment; we do not offer fillers |
| Muscle and strength | Some lean mass is lost with any large weight loss | Strength work on at least two days a week, protein at each meal | Physiotherapy, fitness and nutrition support |
| Body composition | Shape and muscle change in ways the scales miss | Measuring muscle, fat and shape over time | InBody scan £50, Styku 3D scan £50 |
| Nutrition | Appetite can return after stopping | A balanced diet with protein at each meal, support from your GP or a dietitian | Fitness and nutrition support |
| Maintenance | Weight can drift back | A plan agreed with your prescriber, steady activity, regular check-ins | Repeat scans to track change |
| The medicine itself | Doses, side effects, stopping | Your prescriber or GP | We do not prescribe or supply it |
Skin changes come from the weight loss, not from the medicine damaging skin. How far skin recovers depends on how much and how fast you lost, age, sun damage, smoking and genetics.
In a body composition substudy of the SURMOUNT-1 trial, about three quarters of the weight lost on tirzepatide was fat and one quarter lean mass, the same split as placebo. In a STEP 1 analysis, lean body mass fell by 9.7% on average with semaglutide while fat mass fell by 19.3%. Lean mass is not only muscle, but strength still needs looking after.
Read muscle loss on weight loss medication, and see InBody, Styku, physiotherapy and fitness and nutrition.
An NHS trust leaflet on tirzepatide says side effects should settle within four to five weeks of stopping and that hunger may increase. In the STEP 1 trial extension, people regained about two thirds of their weight loss in the year after stopping semaglutide, on average, leaving a net loss of 5.6%. One trial cannot predict your own result, but it shows why a plan matters.
Mild to moderate looseness or dimpling on the body, or a softer jawline, once your prescriber or GP is happy and your weight is broadly settling.
If you feel unwell, are struggling to eat or drink, or your weight is still falling fast. Skin keeps changing, so results are harder to judge.
Hanging skin, which needs a surgical opinion. Hollow cheeks, which need volume. Fat reduction, which LPG does not do.
We are a skin and body clinic, not your prescriber. Contact them, or your GP, if any of these apply.
Most people come weekly for a course, then monthly to maintain results. See how many Endermologie sessions you need.
You pay after your treatment, with nothing to pay upfront. Follow-up length depends on the areas treated.
Experienced hands matter on this machine. Choose your practitioner when you book, or take the first available slot.
Manual Therapy Lead
Patrick has delivered Endermologie since 2011, including ten years as a clinic therapist at Nuffield Health. His background in deep tissue, myofascial and myoskeletal work means he reads how your tissue responds and adjusts the treatment as he goes.
Chartered Physiotherapist, HCPC, MCSP
Khushbu combines LPG Endermologie with manual lymphatic drainage, so treatment works on fluid, tissue and circulation together. Her physiotherapy background means every session is adapted to how your body moves and responds.
Ayurveda Doctor, BAMS, MPH
Dr Athira looks at your tissue, circulation and lifestyle first, then treats face and body on the Cellu M6 Infinity with a plan built around the cause, not just the surface.
Turnham Green is on both District line branches into West London, so most journeys need no change.
Omnia Lifestyle is at 8 to 9 Bedford Corner, The Avenue, Chiswick W4 1LZ, close to Turnham Green station, on bus routes 94, E3 and 272. Limited parking is available on request when booking. LPG sessions run Monday to Saturday. The clinic is open Monday, Friday and Saturday from 9:30am to 7pm, and Tuesday to Thursday from 9:30am to 7:30pm. Open in Google Maps.
The NHS says not to stop them suddenly without talking to your doctor. An NHS trust leaflet says side effects should settle within four to five weeks and hunger may increase. In one major trial, people regained about two thirds of their weight loss in the year after stopping semaglutide, on average.
No. Omnia Lifestyle does not prescribe or supply weight loss medication. We help with skin, body composition and strength, and your prescriber or GP leads on the medicine.
It can help firm and smooth mild to moderate skin looseness on the body and face. It does not reduce fat, add volume or remove hanging skin. We found no study of LPG in people using these medicines, and the general evidence for LPG is mixed.
Ask your prescriber or GP first. We do not set a waiting period ourselves. For judging your skin, many people wait until their weight has settled, because skin keeps changing while weight is falling.
Strength work on at least two days a week, as the NHS recommends, protein at each meal and regular activity. Physiotherapy can help if anything hurts. An InBody scan shows whether you are keeping muscle.
An InBody scan (£50) estimates muscle, fat and body water. A Styku 3D scan (£50) records shape and measurements. Neither is a medical diagnosis, but repeating them shows how your body is changing.
Mild looseness often improves slowly at a stable weight. Marked looseness usually stays, and only surgery removes hanging skin. See does loose skin go away after Mounjaro? and how much weight loss causes loose skin.
Book online in under a minute, call, or send us a WhatsApp and we will help you choose your first appointment. You pay after your treatment.
Related: Mounjaro face, loose skin after weight loss, how to tighten loose skin, loose skin or fat, skin tightening, non-surgical facelift, InBody, Styku, physiotherapy. Or see the LPG Discovery Session.
This page is general information, not medical advice. Omnia Lifestyle does not prescribe or supply weight loss medication. LPG Endermologie is an aesthetic and wellbeing treatment and does not replace medical care. Sources: NHS medicine pages for tirzepatide and semaglutide; Cambridge University Hospitals NHS Foundation Trust tirzepatide leaflet; Look M et al, SURMOUNT-1 body composition, Diabetes, Obesity and Metabolism, 2025; Wilding JPH et al, STEP 1 body composition, Journal of the Endocrine Society, 2021; Wilding JPH et al, STEP 1 extension, Diabetes, Obesity and Metabolism, 2022; Myung SK and Park Y, collagen meta-analysis, American Journal of Medicine, 2025; NHS physical activity guidelines; LPG Systems BeScored study, 2024 (manufacturer data). If you have unexplained swelling, pain or a skin change, see your GP.
